Provider Demographics
NPI:1952044083
Name:DIRECT HAND THERAPY PLLC
Entity Type:Organization
Organization Name:DIRECT HAND THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DEGANN
Authorized Official - Suffix:
Authorized Official - Credentials:MSOT, OTR/L, CHT
Authorized Official - Phone:917-842-5455
Mailing Address - Street 1:1017 TURKEY RUN RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-1708
Mailing Address - Country:US
Mailing Address - Phone:917-842-5455
Mailing Address - Fax:
Practice Address - Street 1:1017 TURKEY RUN RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-1708
Practice Address - Country:US
Practice Address - Phone:917-842-5455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-17
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty