| Organization Name: | ADVANCED HAND THERAPY PC |
| NPI Number: | 1851653901 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLEY S RUBY (OCCUPATIONAL THERAPIST/OWNER) |
| Mailing Address: | 1007 Main St Buhl |
| State: | ID US |
| Postal Code: | 833161627 |
| Phone Number: | 2085954941 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2012 |
| NPI Last Update Date: | 08/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT 242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |