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NPI Code Detail

MEDICARE: CHILDREN'S CREATIVE THERAPIES

MEDICARE: CHILDREN'S CREATIVE THERAPIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1467690909
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S CREATIVE THERAPIES
Provider Business Mailing Address
First Line : 5205 OAKWOOD DR
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-9618
Country : US
Telephone Number : 716-625-4002
Fax Number : 716-625-4002
Provider Business Practice Location Address
First Line : 5205 OAKWOOD DR
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-9618
Country : US
Telephone Number : 716-625-4002
Fax Number : 716-625-4002
Authorized Official
Title or Position : CO-OWNER
Name : MRS. LAURE KRUPCZYK
Credential : OTR/L
Telephone Number : 716-432-6268
Provider Enumeration Date : 01/21/2009
Last Update Date : 01/21/2009

Similar Medicare Providers

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Directions to “CHILDREN'S CREATIVE THERAPIES ” Practice Location

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