Hand and Upper Extremity Center, INC

NPI #1164654398 in Pocatello, Idaho

Provider Information

NPI Number: 1164654398
Entity Type: Organization
Organization Name: Hand and Upper Extremity Center, INC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 21, 2009
Last Updated: Feb 26, 2015

Practice Location

Address: 560 MEMORIAL DR STE B
City: Pocatello
State: Idaho
ZIP Code: 83201-4073
Phone: (208) 478-0258

Authorized Official

Name: MRS. JANICE JEAN, MOTR/L, CHT
Title: OWNER
Phone: (208) 478-0258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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