Hands on Therapy, Inc. is a growing physical therapy practice in Fairbanks, Alaska, focused on helping children with disabilities participate as fully as possible in family life. The practice provides therapy in home environments to build routines that support therapy goals and sensory and motor development, and also offers clinic-based rehabilitation targeting underlying components that affect function. Hands on Therapy serves rural Alaska infant learning programs and rural school districts, contributes to IEP and IFSP development and special education assessment, and provides in-service training for school district staff working with children in special education.