Organization
HAND TO HAND PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANNE MILLER O.T. (OWNER)
(618) 407-1396
Entity
Organization
Contact information
Practice address
4941 BENCHMARK CENTRE DR, SUITE 300, SWANSEA, IL 62226-2038
(618) 628-3540
(618) 628-3249
Mailing address
4941 BENCHMARK CENTRE DR, SUITE 300, SWANSEA, IL 62226-2038
(618) 628-3540
(618) 628-3249
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
056004907
IL
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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