Basic Information
Provider Information
NPI: 1588028062
EntityType: 2
ReplacementNPI:  
OrganizationName: HEALING HANDS THERAPY CENTER INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 8660 W FLAGLER ST STE 203
Address2:  
City: MIAMI
State: FL
PostalCode: 331442033
CountryCode: US
TelephoneNumber: 3055498215
FaxNumber: 3055498678
Practice Location
Address1: 8660 W FLAGLER ST STE 203
Address2:  
City: MIAMI
State: FL
PostalCode: 331442033
CountryCode: US
TelephoneNumber: 3055498215
FaxNumber: 3055498678
Other Information
ProviderEnumerationDate: 04/11/2016
LastUpdateDate: 09/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LLANES
AuthorizedOfficialFirstName: SUSANA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 3055498215
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261Q00000X  Y Ambulatory Health Care FacilitiesClinic/Center 

No ID Information.


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