Provider Demographics
NPI:1013101765
Name:HAND WORKS, INC.
Entity Type:Organization
Organization Name:HAND WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:RAJA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:757-436-6913
Mailing Address - Street 1:200 MEDICAL PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4911
Mailing Address - Country:US
Mailing Address - Phone:757-436-6913
Mailing Address - Fax:757-547-2544
Practice Address - Street 1:200 MEDICAL PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4911
Practice Address - Country:US
Practice Address - Phone:757-436-6913
Practice Address - Fax:757-547-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002939261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9401164Medicaid
VA9401164Medicaid