Provider Demographics
NPI:1881443109
Name:THRIVING CONNECTIONS LLC
Entity type:Organization
Organization Name:THRIVING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLSCHLAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSOT, OTRL
Authorized Official - Phone:810-837-2085
Mailing Address - Street 1:4021 N EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2406
Mailing Address - Country:US
Mailing Address - Phone:810-837-2085
Mailing Address - Fax:
Practice Address - Street 1:1152 MIDLAND ROAD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706
Practice Address - Country:US
Practice Address - Phone:810-837-2085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty