Provider Demographics
NPI:1336295591
Name:HANDS-ON THERAPY, INC.
Entity Type:Organization
Organization Name:HANDS-ON THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BOMAR
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:501-230-8964
Mailing Address - Street 1:220 GRAVEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-8946
Mailing Address - Country:US
Mailing Address - Phone:501-230-8964
Mailing Address - Fax:501-556-4153
Practice Address - Street 1:220 GRAVEL HILL RD
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-8946
Practice Address - Country:US
Practice Address - Phone:501-230-8964
Practice Address - Fax:501-556-4153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1327225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C731OtherOCCUPATIONAL THERAPIST