Provider Demographics
NPI:1194988972
Name:HAND REHABILITATION SPECIALIST INC
Entity type:Organization
Organization Name:HAND REHABILITATION SPECIALIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PVD
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:561-362-8757
Mailing Address - Street 1:2061 NW 2ND AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6652
Mailing Address - Country:US
Mailing Address - Phone:561-362-8757
Mailing Address - Fax:561-362-8949
Practice Address - Street 1:2061 NW 2ND AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6652
Practice Address - Country:US
Practice Address - Phone:561-362-8757
Practice Address - Fax:561-362-8949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XH1200X
FLOT1444332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0937930001Medicare NSC