Organization
CREATIVE SOLUTIONS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAGEN M.S. CCC-SLP (OWNER)
(814) 316-1346
Entity
Organization
Contact information
Practice address
2409 BEECHTREE RD, FALLS CREEK, PA 15840-3807
(814) 316-1346
Mailing address
2409 BEECHTREE RD, FALLS CREEK, PA 15840-3807
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030113790001
—
PA
Enumeration date
09/27/2017
Last updated
09/27/2017
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