Organization Name: | REHAB POTENTIAL, LLC |
NPI Number: | 1316096555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSANNA HINMAN HAND (OPERATING MANAGER) |
Mailing Address: | 317 W Main St Thomaston |
State: | GA US |
Postal Code: | 302863502 |
Phone Number: | 7066471717 |
Fax Number: | 7066473737 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |