Basic Information
| Provider Information | |||||||||
| NPI: | 1225169022 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | D & H THERAPY ASSOCIATES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 SMITHFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | PAWTUCKET | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028603497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017259666 | ||||||||
| FaxNumber: | 4017272750 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 SMITHFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | PAWTUCKET | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028603497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017259666 | ||||||||
| FaxNumber: | 4017272750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2007 | ||||||||
| LastUpdateDate: | 03/19/2013 | ||||||||
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| AuthorizedOfficialLastName: | HAVUNEN | ||||||||
| AuthorizedOfficialFirstName: | KIM | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4017259666 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | N | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 560141 | 01 | US HEALTHCARE | OTHER | CPG0002480001 | 01 | BLUE CHIP | OTHER | 0000007552 | 01 | RI | BLUE CROSS BLUE SHIELD OF | OTHER | 103738700 | 01 | US DEPARTMENT OF LABOR | OTHER | 26306 | 01 | NEIGHBORHOOD HEALTH PLANS | OTHER | 6400130 | 01 | UNITED HEALTHCARE PLANS | OTHER |