Provider Demographics
NPI:1366614646
Name:HAND REHABILITATION CENTER, LLC
Entity type:Organization
Organization Name:HAND REHABILITATION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:B
Authorized Official - Last Name:SIBBONI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:203-855-0833
Mailing Address - Street 1:9 MOTT AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3337
Mailing Address - Country:US
Mailing Address - Phone:203-855-0833
Mailing Address - Fax:203-838-2305
Practice Address - Street 1:9 MOTT AVE STE 106
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3337
Practice Address - Country:US
Practice Address - Phone:203-855-0833
Practice Address - Fax:203-838-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT670000041Medicare PIN
CT5114580001Medicare NSC