# HAND AND UPPER EXTREMITY CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HandX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164654398
- **Authorized official:** MRS. JANICE JEAN MOTR/L, CHT (OWNER)
- **Authorized official phone:** (208) 478-0258

## Contact information

- **Practice address:** 560 MEMORIAL DR STE B, POCATELLO, ID 83201-4073
- **Practice address phone:** (208) 478-0258
- **Practice address fax:** (208) 269-7336
- **Mailing address:** 560 MEMORIAL DR STE B, POCATELLO, ID 83201-4073
- **Mailing address phone:** (208) 478-0258
- **Mailing address fax:** (208) 269-7336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-612 | ID | Yes |

## Other

- **Enumeration date:** 08/21/2009
- **Last updated:** 02/26/2015