Kenroy Greenidge, COTA/L
Occupational Therapy Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1184812349
StatusActive
Last updated in NPPESOct 11, 2007
Details
- NPI
- 1184812349
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenroy Greenidge
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2007
- Last updated
- Oct 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | a01557 | MD | Yes |
Practice location
1801 Wentworth RdBaltimore, MD 21234-6128
Phone 410-661-5717
Mailing address
107 Summer Woods WayOwings Mills, MD 21117-1777
Phone 410-902-1379
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