Provider Demographics
NPI: | 1861018459 |
---|---|
Name: | MAUI HAND THERAPY, LLC |
Entity Type: | Organization |
Organization Name: | MAUI HAND THERAPY, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | LLC MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TERESA |
Authorized Official - Middle Name: | LYNNE |
Authorized Official - Last Name: | CAFFIERO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 917-932-3210 |
Mailing Address - Street 1: | 1325 S KIHEI RD STE 102 |
Mailing Address - Street 2: | |
Mailing Address - City: | KIHEI |
Mailing Address - State: | HI |
Mailing Address - Zip Code: | 96753-8145 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 808-269-1720 |
Mailing Address - Fax: | 866-431-9522 |
Practice Address - Street 1: | 1325 S KIHEI RD STE 102 |
Practice Address - Street 2: | |
Practice Address - City: | KIHEI |
Practice Address - State: | HI |
Practice Address - Zip Code: | 96753-8145 |
Practice Address - Country: | US |
Practice Address - Phone: | 808-269-1720 |
Practice Address - Fax: | 866-431-9522 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-06-19 |
Last Update Date: | 2020-11-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | Group - Single Specialty |