Organization
KREATIVE CONNEXIONS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYSSA K VANG OTR (EXECUTIVE DIRECTOR)
(414) 313-5213
Entity
Organization
Contact information
Practice address
3111 W NATIONAL AVE, MILWAUKEE, WI 53215-1127
(414) 313-5213
(414) 755-0633
Mailing address
PO BOX 340663, MILWAUKEE, WI 53234-0663
(414) 313-5213
(414) 755-0633
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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