Provider Demographics
NPI:1891093167
Name:HAND & ORTHOPEDIC REHABILITATION SPECIALISTS
Entity Type:Organization
Organization Name:HAND & ORTHOPEDIC REHABILITATION SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:PT CHT
Authorized Official - Phone:801-501-8359
Mailing Address - Street 1:5151 S 900 E
Mailing Address - Street 2:100
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-6657
Mailing Address - Country:US
Mailing Address - Phone:801-261-3321
Mailing Address - Fax:801-261-5942
Practice Address - Street 1:11762 S STATE ST
Practice Address - Street 2:#120
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7155
Practice Address - Country:US
Practice Address - Phone:801-501-8359
Practice Address - Fax:801-501-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty