Healthcare Provider Details

I. General information

NPI: 1114604972
Provider Name (Legal Business Name): CREATING CONNECTIONS OCCUPATIONAL THERAPY AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 CUMMINGS PARK
WOBURN MA
01801-2124
US

IV. Provider business mailing address

69 CUMMINGS PARK
WOBURN MA
01801-2124
US

V. Phone/Fax

Practice location:
  • Phone: 781-526-3004
  • Fax:
Mailing address:
  • Phone: 781-526-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALESSANDRA BARLETTA
Title or Position: OCCUPATIONAL THERAPIST
Credential: MS OTR/L
Phone: 781-526-3004