Provider Demographics
NPI:1992264204
Name:WAYA HAND & UPPER EXTREMITY REHAB
Entity type:Organization
Organization Name:WAYA HAND & UPPER EXTREMITY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHT THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L CHT
Authorized Official - Phone:205-249-6190
Mailing Address - Street 1:307 LAUREL WOODS LN
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-3908
Mailing Address - Country:US
Mailing Address - Phone:205-249-6190
Mailing Address - Fax:205-755-6108
Practice Address - Street 1:2030 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-8344
Practice Address - Country:US
Practice Address - Phone:205-249-6190
Practice Address - Fax:205-755-6108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty