Provider Demographics
NPI:1962218388
Name:HANDS-ON THERAPY AND HOME MODIFICATIONS PLLC
Entity type:Organization
Organization Name:HANDS-ON THERAPY AND HOME MODIFICATIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:360-836-1068
Mailing Address - Street 1:620 SE 168TH AVE APT 91
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-8431
Mailing Address - Country:US
Mailing Address - Phone:360-836-1068
Mailing Address - Fax:
Practice Address - Street 1:620 SE 168TH AVE APT 91
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-8431
Practice Address - Country:US
Practice Address - Phone:503-781-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty