Healthcare Provider Details

I. General information

NPI: 1811024144
Provider Name (Legal Business Name): HAND & ORTHOPEDIC REHABILITATION SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 S 900 E 100
SALT LAKE CITY UT
84117-6657
US

IV. Provider business mailing address

5151 S 900 E 100
SALT LAKE CITY UT
84117-6657
US

V. Phone/Fax

Practice location:
  • Phone: 801-261-3321
  • Fax: 801-261-5942
Mailing address:
  • Phone: 801-261-3321
  • Fax: 801-261-5942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARGO JONES BRADY
Title or Position: THERAPIST OWNER
Credential: PT,CHT
Phone: 801-261-3321