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General NPI Number Information
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NPI Number | 1215552849
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Entity Type | Organization
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Legal Business Name | CREATIVE THERAPY CONNECTIONS LLC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 18118 CYPRESS MIST CT
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City | CYPRESS
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State | TX
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Zip | 77433-2496
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Country | US
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Telephone | 713-835-9579
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Fax |
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Provider Business Mailing Address
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Address Line | 18118 CYPRESS MIST CT
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City | CYPRESS
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State | TX
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Zip | 77433-2496
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Country | US
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Telephone | 346-800-1639
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Fax | 281-304-2390
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. DESHAMBRA PENNIE-SIMS
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Credential | OT
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Telephone | 713-835-9579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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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 | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225XH1300X
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Taxonomy Name | Human Factors Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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