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Organization

CREATIVE CONNECTION, PLLC

Active
Other names
Creative Connection, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN OLIVER OTR/L (SOLE MEMBER)
(704) 258-6642
Entity
Organization

Contact information

Practice address
5314 WEDGEWOOD DR, CHARLOTTE, NC 28210-2429
(704) 258-6642
Mailing address
5314 WEDGEWOOD DR, CHARLOTTE, NC 28210-2429
(704) 258-6642

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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