Provider Demographics
NPI:1245308949
Name:HANDS ON HEALING REHAB,LLC
Entity type:Organization
Organization Name:HANDS ON HEALING REHAB,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANGEETA
Authorized Official - Middle Name:SACHINKUMAR
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:908-994-1414
Mailing Address - Street 1:230 W JERSEY ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-1364
Mailing Address - Country:US
Mailing Address - Phone:908-994-1414
Mailing Address - Fax:908-994-1474
Practice Address - Street 1:230 W JERSEY ST
Practice Address - Street 2:SUITE 308
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1364
Practice Address - Country:US
Practice Address - Phone:908-994-1414
Practice Address - Fax:908-994-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00534000261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ085777Medicare ID - Type UnspecifiedPHYSICAL THERAPIST