Provider Demographics
NPI:1063626216
Name:DYNAMIC HAND THERAPY & REHABILITATION LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:DYNAMIC HAND THERAPY & REHABILITATION LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:3900 WASHINGTON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5717
Mailing Address - Country:US
Mailing Address - Phone:847-336-2616
Mailing Address - Fax:847-336-2676
Practice Address - Street 1:3900 WASHINGTON ST
Practice Address - Street 2:SUITE B
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5717
Practice Address - Country:US
Practice Address - Phone:847-336-2616
Practice Address - Fax:847-336-2676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5914100002Medicare NSC