# HAND REHABILITATION SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205874278
- **Authorized official:** MRS. VIRGINIA H CLARK OTR, CHT (PRESIDENT)
- **Authorized official phone:** (941) 792-3134

## Contact information

- **Practice address:** 5847 21ST AVE W, BRADENTON, FL 34209-5641
- **Practice address phone:** (941) 792-3134
- **Practice address fax:** (941) 792-2524
- **Mailing address:** 5847 21ST AVE W, BRADENTON, FL 34209-5641
- **Mailing address phone:** (941) 792-3134
- **Mailing address fax:** (941) 792-2524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | OT0000642 | FL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 08/22/2020