Organization
CREATIVE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLYE ANN KOZLOWSKI OTR/L (OWNER/MANAGER)
(505) 891-3999
Entity
Organization
Contact information
Practice address
2003 SOUTHERN BLVD SE, STE 133, RIO RANCHO, NM 87124-3751
(505) 891-3999
(505) 821-7671
Mailing address
2003 SOUTHERN BLVD SE, STE 133, RIO RANCHO, NM 87124-3751
(505) 891-3999
(505) 821-7671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1795
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0348
—
NM
Enumeration date
06/01/2009
Last updated
01/15/2010
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