# HAND TO HAND PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699120832
- **Authorized official:** PATRICIA ANNE MILLER O.T. (OWNER)
- **Authorized official phone:** (618) 407-1396

## Contact information

- **Practice address:** 4941 BENCHMARK CENTRE DR, SUITE 300, SWANSEA, IL 62226-2038
- **Practice address phone:** (618) 628-3540
- **Practice address fax:** (618) 628-3249
- **Mailing address:** 4941 BENCHMARK CENTRE DR, SUITE 300, SWANSEA, IL 62226-2038
- **Mailing address phone:** (618) 628-3540
- **Mailing address fax:** (618) 628-3249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 056004907 | IL | Yes |

## Other

- **Enumeration date:** 04/25/2016
- **Last updated:** 04/25/2016