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General NPI Number Information
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NPI Number | 1114604972
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Entity Type | Organization
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Legal Business Name | CREATING CONNECTIONS OCCUPATIONAL THERAPY AND WELLNESS SERVICES
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 78 FOREST ST # B
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City | WAKEFIELD
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State | MA
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Zip | 01880-3635
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Country | US
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Telephone | 781-526-3004
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Fax |
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Provider Business Mailing Address
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Address Line | 78 FOREST ST # B
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City | WAKEFIELD
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State | MA
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Zip | 01880-3635
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Country | US
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Telephone | 781-526-3004
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MISS ALESSANDRA BARLETTA
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Credential | MS OTR/L
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Telephone | 178-152-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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