Provider Demographics
NPI:1255924726
Name:HAND IN HAND PEDIATRIC THERAPY LLC
Entity type:Organization
Organization Name:HAND IN HAND PEDIATRIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:KARAS
Authorized Official - Last Name:STUMPF
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:321-698-6251
Mailing Address - Street 1:1708 ATLANTIC ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-2343
Mailing Address - Country:US
Mailing Address - Phone:321-247-8217
Mailing Address - Fax:321-574-4219
Practice Address - Street 1:1708 ATLANTIC ST APT 4F
Practice Address - Street 2:
Practice Address - City:MELBOURNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32951-2343
Practice Address - Country:US
Practice Address - Phone:321-247-8217
Practice Address - Fax:321-574-4219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty