Provider Demographics
NPI:1427110865
Name:CLINICAL HAND REHABILITATION, INC
Entity type:Organization
Organization Name:CLINICAL HAND REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTRLCHT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-228-6330
Mailing Address - Street 1:1460 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9647
Mailing Address - Country:US
Mailing Address - Phone:724-228-6330
Mailing Address - Fax:724-228-2256
Practice Address - Street 1:1460 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9647
Practice Address - Country:US
Practice Address - Phone:724-228-6330
Practice Address - Fax:724-228-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000524L261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA642844Medicare PIN