Basic Information
| Provider Information | |||||||||
| NPI: | 1467821330 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HELPING HANDS THERAPY, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 221 RUE DE JEAN | ||||||||
| Address2: | SUITE 126 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705088501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3372330322 | ||||||||
| FaxNumber: | 3372330225 | ||||||||
| Practice Location | |||||||||
| Address1: | 221 RUE DE JEAN | ||||||||
| Address2: | SUITE 126 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705088501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3372330322 | ||||||||
| FaxNumber: | 3372330225 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2015 | ||||||||
| LastUpdateDate: | 09/21/2015 | ||||||||
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| AuthorizedOfficialLastName: | THOMA | ||||||||
| AuthorizedOfficialFirstName: | WULF | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3372330322 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | OTT200812 | LA | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Case Manager/Care Coordinator |
ID Information
| ID | Type | State | Issuer | Description | OTT200812 | 01 | LA | STATE LICENSE | OTHER |