Provider Demographics
NPI:1447750781
Name:HANDS ON THERAPY, LLC
Entity Type:Organization
Organization Name:HANDS ON THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:DIAMOND
Authorized Official - Last Name:KRUPITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L, CHT
Authorized Official - Phone:410-415-5260
Mailing Address - Street 1:11 KELLER RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1308
Mailing Address - Country:US
Mailing Address - Phone:410-415-5260
Mailing Address - Fax:410-415-5261
Practice Address - Street 1:7939 HONEYGO BLVD
Practice Address - Street 2:STE 130
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236
Practice Address - Country:US
Practice Address - Phone:410-415-5260
Practice Address - Fax:410-415-5261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDS ON THERAPY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03982225XE1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomicsGroup - Multi-Specialty