| Organization Name: | GATEWAY HAND THERAPY LLC |
| NPI Number: | 1790157097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY LYNN KLEIS (AUTHORIZED OFFICIAL) |
| Mailing Address: | 3739 Baldwin St Hudsonville |
| State: | MI US |
| Postal Code: | 494269733 |
| Phone Number: | 6162094429 |
| Fax Number: | 6164322247 |
| NPI Enumeration Date: | 10/26/2015 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 5201001229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |