Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI Number | 1194999540 |
| LBN Legal business name | BEVERLY HILLS HAND & REHAB CTR |
| Authorized official | KAREN LUCKETT - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/16/2008 |
| Last updated | 04/23/2008 - About 18 years ago |
| Identifiers | n/a |
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