Cache Valley Hand Therapy Llc | |
2310 N 400 E Ste D, North Logan, UT 84341-1788 | |
(435) 774-8562 | |
(435) 774-8582 |
Full Name | Cache Valley Hand Therapy Llc |
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Type | Facility |
Speciality | Occupational Therapist - Hand |
Location | 2310 N 400 E Ste D, North Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053965905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | (* (Not Available)) | Primary |
Provider Name | Ryan Don Godfrey |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942348875 PECOS PAC ID: 3971937384 Enrollment ID: I20191218000119 |
Mailing Address | Practice Location Address |
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Cache Valley Hand Therapy Llc Po Box 123, Clarkston, UT 84305-0123 Ph: (435) 563-2546 | Cache Valley Hand Therapy Llc 2310 N 400 E Ste D, North Logan, UT 84341-1788 Ph: (435) 774-8562 |
Pauline Margaret Jonsson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, North Logan, UT 84341 Phone: 435-787-9030 | |
Tim Leroy Jensen, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2055 N 1450 E, North Logan, UT 84341 Phone: 435-363-3732 Fax: 888-668-5207 |