Organization
CREATIVE ADVENTURE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PELLER OTR/L (OWNER)
(954) 608-1957
Entity
Organization
Contact information
Practice address
3900 NE 18TH AVE APT 1603, POMPANO BEACH, FL 33064-9212
(954) 608-1957
Mailing address
3900 NE 18TH AVE APT 1603, POMPANO BEACH, FL 33064-9212
(954) 608-1957
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336663731
—
FL
Enumeration date
01/27/2025
Last updated
01/27/2025
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