Organization
CREATIVE THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN F MATTINGLY SLP.D., CCC-SLP (DIRECTOR/SPEECH LANGUAGE PATHOLOGIS)
(561) 641-5757
Entity
Organization
Contact information
Practice address
2168 JOG RD, WEST PALM BEACH, FL 33415-6015
(561) 641-5757
(561) 641-7373
Mailing address
2168 JOG RD, WEST PALM BEACH, FL 33415-6015
(561) 641-5757
(561) 641-7373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA6347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001049100
—
FL
05
—
109652000
—
FL
Enumeration date
03/07/2012
Last updated
01/18/2024
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