Healthcare Provider Details

I. General information

NPI: 1376773804
Provider Name (Legal Business Name): HAND TO HAND REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 07/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BOGIE HILLS DR
COLUMBIA MO
65201-2832
US

IV. Provider business mailing address

101 BOGIE HILLS DR
COLUMBIA MO
65201
US

V. Phone/Fax

Practice location:
  • Phone: 573-999-4925
  • Fax: 573-443-2075
Mailing address:
  • Phone: 573-999-4925
  • Fax: 573-443-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA B. EAGLE
Title or Position: OWNER OPERATOR
Credential: OTR/L
Phone: 573-999-4925