Organization
CREATIVE THERAPEUTICS LLC
Active
Organization
CREATIVE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN RUSSO MS, OTR/L (OWNER)
(860) 682-4248
Entity
Organization
Contact information
Practice address
33 PENDLETON DR, HEBRON, CT 06248-1512
(860) 266-7835
Mailing address
10 PHELPS RD, MARLBOROUGH, CT 06447-1227
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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