Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1831745975 |
| LBN Legal business name | SUMMIT HAND THERAPY |
| Authorized official | ANGELA JENSEN - (OFFICE/BILLING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/14/2019 |
| Last updated | 01/13/2021 - About 5 years ago |
| Identifiers | n/a |
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