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General NPI Number Information
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NPI Number | 1972556629
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Entity Type | Organization
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Legal Business Name | COVENANT HAND THERAPY PC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1101 OHIO DR STE 105
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-599-9594
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Fax | 972-599-9364
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Provider Business Mailing Address
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Address Line | 1101 OHIO DR STE 105
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-599-9594
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Fax | 972-599-9364
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Authorized Official
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Title or Position | OWNER
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Name | GAIL BLOM
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Credential | MA OTR CHT
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Telephone | 972-599-9594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TX
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