Organization
CREEKSIDE PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MOLAISON (OCCUPATIONAL THERAPIST/OWNER)
(985) 232-2832
Entity
Organization
Contact information
Practice address
141 N HILL DR, CARRIERE, MS 39426-8129
(601) 215-3267
Mailing address
141 N HILL DR, CARRIERE, MS 39426-8129
(601) 215-3267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/05/2025
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