Organization
AUTHENTIC HAND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI J WILLS OTR/L CHT (OWNER)
(248) 219-7053
Entity
Organization
Contact information
Practice address
724 S CENTRAL AVE STE 107, MEDFORD, OR 97501-7808
(248) 219-7053
Mailing address
724 S CENTRAL AVE STE 107, MEDFORD, OR 97501-7808
(248) 219-7053
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
12/12/2019
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