Provider Demographics
NPI:1427238195
Name:MEMPHIS HAND CENTER
Entity type:Organization
Organization Name:MEMPHIS HAND CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:OT,CHT
Authorized Official - Phone:901-761-4263
Mailing Address - Street 1:5699 GETWELL RD
Mailing Address - Street 2:BLDG E, SUTIE 4
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38672-7312
Mailing Address - Country:US
Mailing Address - Phone:662-536-4695
Mailing Address - Fax:662-536-4696
Practice Address - Street 1:5699 GETWELL RD
Practice Address - Street 2:BLDG E, SUTIE 4
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-7312
Practice Address - Country:US
Practice Address - Phone:662-536-4695
Practice Address - Fax:662-536-4696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2015-01-21
Deactivation Date:2014-09-03
Deactivation Code:
Reactivation Date:2015-01-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty