Organization
HAND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIRGINIA H CLARK OTR, CHT (PRESIDENT)
(941) 792-3134
Entity
Organization
Contact information
Practice address
5847 21ST AVE W, BRADENTON, FL 34209-5641
(941) 792-3134
(941) 792-2524
Mailing address
5847 21ST AVE W, BRADENTON, FL 34209-5641
(941) 792-3134
(941) 792-2524
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT0000642
FL
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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