Provider Demographics
NPI:1912551524
Name:HAND IN HAND THERAPY
Entity Type:Organization
Organization Name:HAND IN HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENT COMMUNICATION THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNLER
Authorized Official - Suffix:
Authorized Official - Credentials:BS MA DT-C
Authorized Official - Phone:260-497-0328
Mailing Address - Street 1:9426 LIMA RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46818-8680
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9426 LIMA RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46818-8680
Practice Address - Country:US
Practice Address - Phone:260-497-0328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
30700000OtherN/A