NPI 1164654398

Hand and Upper Extremity Center, INC

Organisation Occupational Therapist Pocatello, ID

Practice location

Address: 560 Memorial Dr STE B, Pocatello, ID 83201-4073
Phone: (208) 478-0258
Fax: (208) 269-7336

Authorised official

Name: Janice Jean
Title: Owner
Phone: (208) 478-0258

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT-612 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1164654398
Entity type: Organization
NPI issued: 21 Aug 2009
Record last updated: 26 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.