Organization
HAND IN HAND THERAPY
Active
Organization
HAND IN HAND THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANDA BROWNLER BS MA DT-C (DEVELOPMENT COMMUNICATION THERAPIST)
(260) 497-0328
Entity
Organization
Contact information
Practice address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
(260) 497-0328
Mailing address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30700000
N/A
—
Enumeration date
07/31/2019
Last updated
07/31/2019
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