Provider Demographics
NPI:1679914543
Name:HANDS-ON REHABILITATION, LLC
Entity type:Organization
Organization Name:HANDS-ON REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIKTORIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOMENKO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-617-9999
Mailing Address - Street 1:198 ROUTE 9 STE 100
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3073
Mailing Address - Country:US
Mailing Address - Phone:732-617-9999
Mailing Address - Fax:732-617-1818
Practice Address - Street 1:198 ROUTE 9 STE 100
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3073
Practice Address - Country:US
Practice Address - Phone:732-617-9999
Practice Address - Fax:732-617-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty