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Colorful Kids Ot, LLC

Occupational Therapist, Pediatrics in Forest Hill, MD. Organization (NPI-2).

NPI number1013517606
StatusActive
Last updated in NPPESNov 1, 2020

Details

NPI
1013517606
Entity type
Organization (NPI-2)
Legal business name
Colorful Kids Ot, LLC
Organization subpart
No
Enumeration date
Nov 1, 2020
Certification date
Nov 1, 2020
Last updated
Nov 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics––Yes

Practice location

1998 Rock Spring Rd Ste D
Forest Hill, MD 21050-2664

Phone 301-672-0159

Mailing address

1301 Chez Ct
Fallston, MD 21047-2206

Phone 301-672-0159

Authorized official

Amanda Leigh Dailey
Occupational Therapist
3016720159

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