Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1598213852 |
| LBN Legal business name | WILD ROSE HAND THERAPY LLC |
| Authorized official | KRISTIN FORNO - (OCCUPATIONAL THERAPIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/15/2016 |
| Last updated | 09/15/2016 - About 10 years ago |
| Identifiers | n/a |
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