Provider Demographics
NPI:1992971485
Name:ARIZONA HAND THERAPY LLC
Entity type:Organization
Organization Name:ARIZONA HAND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MESCH
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:928-301-3810
Mailing Address - Street 1:781 COVE PKWY
Mailing Address - Street 2:UNIT A
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-5559
Mailing Address - Country:US
Mailing Address - Phone:928-301-3810
Mailing Address - Fax:
Practice Address - Street 1:781 COVE PKWY
Practice Address - Street 2:UNIT A
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-5559
Practice Address - Country:US
Practice Address - Phone:928-301-3810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.001745225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6209070001Medicare NSC
Z123201Medicare PIN