Organization
COVENANT HAND THERAPY PC
Active
Organization
COVENANT HAND THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL BLOM MA OTR CHT (OWNER)
(972) 599-9594
Entity
Organization
Contact information
Practice address
1101 OHIO DR, STE 105, PLANO, TX 75093
(972) 599-9594
(972) 599-9364
Mailing address
1101 OHIO DR, STE 105, PLANO, TX 75093
(972) 599-9594
(972) 599-9364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
225X00000X
Occupational Therapist
—
TX
335E00000X
Prosthetic/Orthotic Supplier
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055JC
BLUE CROSS BLUE SHIELD
TX
01
—
4724960001
PALMETTO GBA DMERC
TX
Enumeration date
05/17/2006
Last updated
09/11/2025
Update your record
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