Provider Demographics
NPI:1760074868
Name:SH THERAPY & LYMPHEDEMA LLC
Entity Type:Organization
Organization Name:SH THERAPY & LYMPHEDEMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:610-457-1173
Mailing Address - Street 1:1750 N BAYSHORE DR APT 2502
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3209
Mailing Address - Country:US
Mailing Address - Phone:610-457-1173
Mailing Address - Fax:
Practice Address - Street 1:1750 N BAYSHORE DR APT 2502
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3209
Practice Address - Country:US
Practice Address - Phone:610-457-1173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty