Provider Demographics
NPI:1972598068
Name:TROPICAL PALMS HAND THERAPY INC
Entity Type:Organization
Organization Name:TROPICAL PALMS HAND THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:TUTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:OT,CHT
Authorized Official - Phone:954-596-1609
Mailing Address - Street 1:PO BOX 772473
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33077-2473
Mailing Address - Country:US
Mailing Address - Phone:954-596-1609
Mailing Address - Fax:954-341-2144
Practice Address - Street 1:7225 N. UNIVERSITY DR.
Practice Address - Street 2:201A
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-596-1609
Practice Address - Fax:954-724-0598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7865503OtherAETNA
FL696613OtherUNITED
FLZ121SOtherBLUE CROSS BLUE SHIELD
FLZ0187OtherBLUE CROSS BLUE SHIELD
FLK4032Medicare ID - Type UnspecifiedPART B GROUP