Organization Name: | HAND THERAPY OF LASALLE COUNTY, INC. |
NPI Number: | 1508009762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK PHILLIP NASO (PRESIDENT) |
Mailing Address: | 511 S Ottawa St Earlville |
State: | IL US |
Postal Code: | 605188005 |
Phone Number: | 6308868364 |
Fax Number: | 6308623083 |
NPI Enumeration Date: | 04/16/2009 |
NPI Last Update Date: | 04/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056005093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |