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NPI Code Detail

MEDICARE: HAND & ORTHOPEDIC REHABILITATION SPECIALISTS PC

MEDICARE: HAND & ORTHOPEDIC REHABILITATION SPECIALISTS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1790815173
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAND & ORTHOPEDIC REHABILITATION SPECIALISTS PC
Provider Business Mailing Address
First Line : 702 E SOUTH TEMPLE
Second Line : 102
City : SALT LAKE CITY
State : UT
Zip : 84102-1204
Country : US
Telephone Number : 801-261-3321
Fax Number : 801-261-5942
Provider Business Practice Location Address
First Line : 702 E SOUTH TEMPLE
Second Line : SUITE 102
City : SALT LAKE CITY
State : UT
Zip : 84102-1204
Country : US
Telephone Number : 801-328-8535
Fax Number : 801-261-5942
Authorized Official
Title or Position : THERAPIST OWNER
Name : MARGO JONES BRADY
Credential : PT,CHT
Telephone Number : 801-261-3321
Provider Enumeration Date : 03/06/2007
Last Update Date : 04/26/2012

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Directions to “HAND & ORTHOPEDIC REHABILITATION SPECIALISTS PC ” Practice Location

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