Provider Demographics
NPI:1225661697
Name:HAND AND HAND PEDIATRIC THERAPY, LLC.
Entity Type:Organization
Organization Name:HAND AND HAND PEDIATRIC THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEGENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-370-8845
Mailing Address - Street 1:8S230 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9505
Mailing Address - Country:US
Mailing Address - Phone:630-219-3172
Mailing Address - Fax:
Practice Address - Street 1:8S230 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9505
Practice Address - Country:US
Practice Address - Phone:630-219-3172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency