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Organization
NEW CREATION THERAPY, INC
Active
Organization
NEW CREATION THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ORTIZ OTR (OWNER)
(210) 793-0877
Entity
Organization
Contact information
Practice address
3026 HILLCREST DR # 200, SAN ANTONIO, TX 78201-7006
(210) 793-0877
Mailing address
11703 HUEBNER RD # 106-207, SAN ANTONIO, TX 78230-1201
(210) 793-0877
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12175227
CAQH
TX
Enumeration date
12/28/2020
Last updated
12/28/2020
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