Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1215119839 |
| LBN Legal business name | HILL COUNTRY UPPER EXTREMITY THERAPY, PLLC |
| Authorized official | JON BLACKBURN - (CERTIFIED UPPER EXTREMITY THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/05/2007 |
| Last updated | 12/05/2007 - About 19 years ago |
| Identifiers | n/a |
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