Provider Demographics
NPI:1770797219
Name:KEEFE HAND THERAPY
Entity type:Organization
Organization Name:KEEFE HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CHT
Authorized Official - Phone:561-736-8380
Mailing Address - Street 1:PO BOX 694
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-0694
Mailing Address - Country:US
Mailing Address - Phone:561-736-8380
Mailing Address - Fax:561-752-8528
Practice Address - Street 1:3301 W BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4642
Practice Address - Country:US
Practice Address - Phone:561-736-8380
Practice Address - Fax:561-752-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT0001313332B00000X
FLOT 0001313332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7433OtherBCBS #
FLZ7433OtherBCBS #