Healthcare Provider Details
I. General information
NPI: 1316556830
Provider Name (Legal Business Name): HAND IN HAND OCCUPATIONAL THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2020
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1807 WARWICK LN
SCHAUMBURG IL
60193-1125
US
IV. Provider business mailing address
1807 WARWICK LN
SCHAUMBURG IL
60193-1125
US
V. Phone/Fax
- Phone: 224-392-9249
- Fax:
- Phone: 224-392-9249
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XN1300X |
| Taxonomy | Neurorehabilitation Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUZANNE
E
HODGKINS
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OT
Phone: 224-392-9249