Organization
HAND REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA H CLARK OTR, CHT (PRESIDENT)
(941) 792-3134
Entity
Organization
Contact information
Practice address
5847 21ST AVE W, BRADENTON, FL 34209
(941) 792-3134
Mailing address
5847 21ST AVE W, BRADENTON, FL 34209-5641
(941) 792-3134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OT642
FL
Other
Enumeration date
05/10/2007
Last updated
04/14/2014
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