Organization Name: | CYNTHIA S. CREIGHTON, M.S., OTR |
NPI Number: | 1033385992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA S CREIGHTON (SOLE PROPRIOTER) |
Mailing Address: | 2107 Cambridge Dr Apt C Goshen |
State: | IN US |
Postal Code: | 465285703 |
Phone Number: | 5742026640 |
Fax Number: | 5745348733 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 31000164A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |