Provider Demographics
NPI:1902295835
Name:HANDSPRING REHABILITATION LLC
Entity Type:Organization
Organization Name:HANDSPRING REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-593-9318
Mailing Address - Street 1:4 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4064
Mailing Address - Country:US
Mailing Address - Phone:800-593-9318
Mailing Address - Fax:845-344-6829
Practice Address - Street 1:4 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4064
Practice Address - Country:US
Practice Address - Phone:800-593-9318
Practice Address - Fax:845-344-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier