Provider Demographics
NPI:1639375348
Name:DYNAMIC HAND THERAPY & REHABILITATION LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:DYNAMIC HAND THERAPY & REHABILITATION LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAWRANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1300 W SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2447
Mailing Address - Country:US
Mailing Address - Phone:713-297-7000
Mailing Address - Fax:713-297-6381
Practice Address - Street 1:498 S US HIGHWAY 12
Practice Address - Street 2:SUITE C
Practice Address - City:FOX LAKE
Practice Address - State:IL
Practice Address - Zip Code:60020-1908
Practice Address - Country:US
Practice Address - Phone:847-587-3301
Practice Address - Fax:847-587-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5914100001Medicare NSC