Organization
HANDS PLUS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PATRICK GARD OTR, CHT (GENERAL PARTNER, OWNER)
(719) 565-2002
Entity
Organization
Contact information
Practice address
4301 THATCHER AVE, PUEBLO, CO 81005-1036
(719) 565-2002
Mailing address
4301 THATCHER AVE, PUEBLO, CO 81005-1036
(719) 565-2002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
984839
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636668
BLUE CROSS BLUE SHIELD
CO
Enumeration date
08/19/2006
Last updated
07/10/2007
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