Organization
ACTION HAND THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. L SHULTIS KIERNAN (OWNER PRESIDENT)
(561) 366-0065
Entity
Organization
Contact information
Practice address
3401 PGA BLVD, 500B, PALM BEACH GARDENS, FL 33410-2823
(561) 366-0065
(561) 366-0078
Mailing address
PO BOX 31833, PALM BEACH GARDENS, FL 33420-1833
(561) 366-0065
(561) 366-0078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT674
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890472300
—
FL
01
—
Z1322
BCBS
FL
Enumeration date
08/22/2007
Last updated
10/24/2008
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