Provider Demographics
NPI:1740934587
Name:RESTORED HOPE HAND THERAPY, LLC
Entity type:Organization
Organization Name:RESTORED HOPE HAND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:714-225-9851
Mailing Address - Street 1:1042 WILLOW CREEK RD STE A101-415
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1673
Mailing Address - Country:US
Mailing Address - Phone:928-275-2201
Mailing Address - Fax:928-275-1814
Practice Address - Street 1:1003 DIVISION ST STE 6B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1657
Practice Address - Country:US
Practice Address - Phone:928-275-2201
Practice Address - Fax:928-275-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty