Provider Demographics
NPI:1801071048
Name:HANDS-PLUS THERAPY SERVICES LLC
Entity type:Organization
Organization Name:HANDS-PLUS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUP. THERAPIST/CERT. HAND THERAP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:OBBINK
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/CHT
Authorized Official - Phone:920-668-8854
Mailing Address - Street 1:151 LAKE CT
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53013-1670
Mailing Address - Country:US
Mailing Address - Phone:920-668-8854
Mailing Address - Fax:
Practice Address - Street 1:425 W WALTERS ST
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:WI
Practice Address - Zip Code:53074-1453
Practice Address - Country:US
Practice Address - Phone:414-268-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1653-026174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIP90106Medicare UPIN