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Organization
UPPER EXTREMITY SPECIALISTS, INC
Active
Organization
UPPER EXTREMITY SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET WISE OTR, CHT, CVE, CCM (DIRECTOR/PRESIDENT)
(214) 352-4443
Entity
Organization
Contact information
Practice address
1926 CHATTANOOGA PL, SUITE A, DALLAS, TX 75235-6279
(214) 352-4443
(214) 357-2513
Mailing address
1926 CHATTANOOGA PL, SUITE A, DALLAS, TX 75235-6279
(214) 352-4443
(214) 357-2513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
TX
225XE1200X
Ergonomics Occupational Therapist
—
TX
225XH1200X
Hand Occupational Therapist
—
TX
225XH1300X
Human Factors Occupational Therapist
—
TX
225XN1300X
Neurorehabilitation Occupational Therapist
—
TX
225XP0200X
Pediatric Occupational Therapist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056925
BLUE LINK
TX
01
—
83015T
BCBS
TX
Enumeration date
10/04/2005
Last updated
07/18/2007
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