Organization Name: | HAND THERAPY ASSOCIATES OF GEORGIA |
NPI Number: | 1114102845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY R LUPIEN (DIRECTOR) |
Mailing Address: | 5041 Dallas Hwy Bldg 1, Suite C Powder Springs |
State: | GA US |
Postal Code: | 301276458 |
Phone Number: | 7704252151 |
Fax Number: | 7704255982 |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT000594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |