Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI # | 1194022806 |
| LBN Legal business name | SHOULDER TO HAND MEDICAL ASSOCIATES, P.C. |
| Authorized official | STEVEN GLICKEL - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/15/2011 |
| Last updated | 11/07/2011 - About 15 years ago |
| Identifiers | n/a |
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