| NPI | 1083262042 |
|---|---|
| Doing Business As | HAND & UPPER EXTREMITY CENTER |
| Entity Type | Organization |
| Authorized Contact | TIA BURNS Owner 208-680-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-06 |