Provider Demographics
NPI:1184838989
Name:HAND PROFESSIONAL THERAPY INC.
Entity type:Organization
Organization Name:HAND PROFESSIONAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-673-9939
Mailing Address - Street 1:441 DEL PRADO BLVD N STE 1
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2220
Mailing Address - Country:US
Mailing Address - Phone:239-673-9939
Mailing Address - Fax:239-574-3018
Practice Address - Street 1:441 DEL PRADO BLVD N STE 1
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2220
Practice Address - Country:US
Practice Address - Phone:239-673-9939
Practice Address - Fax:239-574-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization