Provider Demographics
NPI:1780042648
Name:HEARTS & HANDS THGERAPY
Entity Type:Organization
Organization Name:HEARTS & HANDS THGERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:WALILKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-876-1778
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-9998
Mailing Address - Country:US
Mailing Address - Phone:973-876-1778
Mailing Address - Fax:973-584-6290
Practice Address - Street 1:350 N MAIN ST UNIT 435
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-9998
Practice Address - Country:US
Practice Address - Phone:973-876-1778
Practice Address - Fax:973-584-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-08
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health