Provider Demographics
NPI:1447084470
Name:CONNECTING POTENTIAL LLC
Entity type:Organization
Organization Name:CONNECTING POTENTIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAJTYKA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:484-653-7874
Mailing Address - Street 1:707 N ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-2321
Mailing Address - Country:US
Mailing Address - Phone:484-653-7874
Mailing Address - Fax:
Practice Address - Street 1:511 N PROVIDENCE RD UNIT B
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2518
Practice Address - Country:US
Practice Address - Phone:484-653-7874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty