Most Relevant Information
Provider Data
| NPI Number: | 1003203985 |
| Provider Name: | SASCHA ILANA VAN CREVELD OT |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 001052 |
Most Important Dates
| Enumeration Date: | 04/19/2015 |
| Last Updated: | 04/19/2015 |
Provider Practice Location
345 STEVENSON RD
NEW HAVEN
CT
065152470
Practice Location Phone/Fax
| Phone: | 2033769085 |
| Fax: |
Provider Mailing Location
345 STEVENSON RD
NEW HAVEN
CT
065152470
Provider Mailing Phone/Fax
| Phone: | 2033769085 |
| Fax: |