Provider Demographics
NPI:1629501861
Name:HEALING HANDS LYMPHEDEMA AND THERAPY, P. C.
Entity Type:Organization
Organization Name:HEALING HANDS LYMPHEDEMA AND THERAPY, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:707-445-1317
Mailing Address - Street 1:2255 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3387
Mailing Address - Country:US
Mailing Address - Phone:707-445-1317
Mailing Address - Fax:707-443-8961
Practice Address - Street 1:2255 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3387
Practice Address - Country:US
Practice Address - Phone:707-445-1317
Practice Address - Fax:707-443-8961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy