Provider Demographics
NPI:1629059027
Name:ACCELERATED HAND THERAPY & REHABILITATION
Entity Type:Organization
Organization Name:ACCELERATED HAND THERAPY & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR OTR CHT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR CHT
Authorized Official - Phone:973-334-4321
Mailing Address - Street 1:1259 ROUTE 46
Mailing Address - Street 2:BUILDING #3
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4909
Mailing Address - Country:US
Mailing Address - Phone:973-334-4321
Mailing Address - Fax:973-334-1095
Practice Address - Street 1:1259 ROUTE 46
Practice Address - Street 2:BUILDING #3
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4909
Practice Address - Country:US
Practice Address - Phone:973-334-4321
Practice Address - Fax:973-334-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0858730001Medicare NSC
NJ035840Medicare PIN