Provider Demographics
NPI:1134710882
Name:HAND THERAPY ASSOCIATES, PLLC
Entity type:Organization
Organization Name:HAND THERAPY ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLESLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:701-740-7876
Mailing Address - Street 1:415 32ND AVE E
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-7923
Mailing Address - Country:US
Mailing Address - Phone:701-740-7876
Mailing Address - Fax:
Practice Address - Street 1:415 32ND AVE E
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-7923
Practice Address - Country:US
Practice Address - Phone:701-740-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty