# HAND REHABILITATION SERVICES

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

## Provider details

- **NPI number:** 1366656951
- **Authorized official:** VIRGINIA H CLARK OTR, CHT (PRESIDENT)
- **Authorized official phone:** (941) 792-3134

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | OT642 | FL | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 04/14/2014