Organization Name: | SUMMIT HAND THERAPY LLC |
NPI Number: | 1023298999 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL J DELONG (OWNER) |
Mailing Address: | 2179 N 1700 W Suite 5 Layton |
State: | UT US |
Postal Code: | 840411138 |
Phone Number: | 8017732633 |
Fax Number: | 8017731553 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 6717526-4201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |