Healthcare Provider Details

I. General information

NPI: 1710791959
Provider Name (Legal Business Name): PREMIER HAND THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 SUNCREST DR STE D1
EL PASO TX
79912-5615
US

IV. Provider business mailing address

6273 TAMPA RIVER PL
EL PASO TX
79932-1721
US

V. Phone/Fax

Practice location:
  • Phone: 915-343-5099
  • Fax:
Mailing address:
  • Phone: 915-777-0047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JOANNE CLIFFORD
Title or Position: OWNER/OPERATOR
Credential: COTA
Phone: 915-777-0047