Organization
CONNECTIVE INTERVENTION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA NICOLE BURMEISTER (PARTNER)
(610) 909-4051
Entity
Organization
Contact information
Practice address
4670 BERWYN LANE, MACUNGIE, PA 18062-8251
(610) 909-4051
Mailing address
4670 BERWYN LN, MACUNGIE, PA 18062-8251
(610) 909-4051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
OC007277L
PA
225X00000X
Occupational Therapist
Primary
OC008136
PA
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/22/2007
Last updated
04/17/2008
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