# CREATIVE PARTNERS IN PHYSICAL THERAPY AND SPEECH LANGUAGE PATHOLOGY

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

## Provider details

- **NPI number:** 1003141862
- **Authorized official:** MRS. CAROL ANN HEUSER PT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (716) 570-1662

## Contact information

- **Practice address:** 1728 BRALEY RD, YOUNGSTOWN, NY 14174-9733
- **Practice address phone:** (716) 570-1662
- **Mailing address:** 1728 BRALEY RD, YOUNGSTOWN, NY 14174-9733
- **Mailing address phone:** (716) 570-1662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 12/02/2010
