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Organization

CREATIVE CONNECTIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN E. FLOYD (PRESIDENT)
(601) 606-5482
Entity
Organization

Contact information

Practice address
4094 W TOPISAW S, SUMMIT, MS 39666-9785
(601) 606-5482
Mailing address
4094 W TOPISAW S, SUMMIT, MS 39666-9785
(601) 606-5482

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT1764
MS
225XP0200X
Pediatric Occupational Therapist
Primary
OT2003
MS

Other

Enumeration date
02/12/2014
Last updated
02/12/2014
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