Organization
CREATIVE THERAPY RESOURCE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA FLOSI DPT (PRESIDENT)
(847) 390-0999
Entity
Organization
Contact information
Practice address
1125 MILWAUKEE AVE, RIVERWOODS, IL 60015-3512
(847) 520-9038
(847) 520-9039
Mailing address
1125 MILWAUKEE AVE, RIVERWOODS, IL 60015-3512
(847) 520-9038
(847) 520-9039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
060009018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060009018
ILLINOIS PROFESSIONAL CORPORATE LICENSE
IL
Enumeration date
11/08/2011
Last updated
11/08/2011
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