Healthcare Provider Details
I. General information
NPI: 1639745797
Provider Name (Legal Business Name): HAND IN HAND, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2021
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1190 ANCHORAGE CIR
VANSANT VA
24656-7019
US
IV. Provider business mailing address
PO BOX 1158
VANSANT VA
24656-1158
US
V. Phone/Fax
- Phone: 276-202-7222
- Fax: 276-451-7836
- Phone: 276-202-7222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
COOK
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 276-935-9205