Organization
COMMUNITY CARE CONNECTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT BRENNEN (EXECUTIVE DIRECTOR)
(724) 283-3198
Entity
Organization
Contact information
Practice address
114 SKYLINE LN, BUTLER, PA 16001-8762
(724) 283-3198
(724) 283-5945
Mailing address
114 SKYLINE LN, BUTLER, PA 16001-8762
(724) 283-3198
(724) 283-5945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001495
PA DPW OMAP
PA
Enumeration date
12/08/2006
Last updated
12/24/2007
Update your record
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