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Organization

CREATING POSSIBILOTS THERAPY SERVICES

Active
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Organization

CREATING POSSIBILOTS THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN ILLENCIK OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(330) 719-8051
Entity
Organization

Contact information

Practice address
104 ROYAL COLVEN DR, YORKTOWN, VA 23693-5533
(330) 719-8051
Mailing address
104 ROYAL COLVEN DR, YORKTOWN, VA 23693-5533

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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