Organization
ISLAND HAND & UPPER BODY REHABILITATION
Active
Other names
Island Occupational Therapy And Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D CALHOUN OTRL (OWNER)
(252) 255-5252
Entity
Organization
Contact information
Practice address
3210 N. CROATAN HWY, STE 3, 2ND FLOOR, KILL DEVIL HILLS, NC 27948-8516
(252) 255-5252
(252) 480-0943
Mailing address
PO BOX 7393, KILL DEVIL HILLS, NC 27948-7393
(252) 255-5252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044180
AETNA ID
NC
01
—
11387
BCBS ID
NC
01
—
182600
MEDCOST ID
NC
05
—
7301179
—
NC
01
—
P00316027
RAILROAD MCR ID
NC
Enumeration date
10/25/2006
Last updated
08/13/2019
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