Kenroy Greenidge COTA/L

NPI 1184812349 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1184812349
Gender Male
Enumeration Date 10/11/2007
Last Updated 10/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1801 WENTWORTH RD
BALTIMORE MD, 21234-6128, US
Phone (410) 661-5717
Fax
Business Location
107 SUMMER WOODS WAY
OWINGS MILLS MD, 21117-1777, US
Phone (410) 902-1379
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Maryland
License Number A01557
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According to our database, Mr. Kenroy Greenidge COTA/L NPI is 1184812349, taxonomy code is 224Z00000X and license number is A01557, license state is located at Maryland. Kenroy Greenidge COTA/L physically located at 1801 Wentworth Rd, Baltimore MD, 21234-6128. NPI Number Kenroy Greenidge COTA/L has the Individual type.

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1184812349 NPI number is provided on an as is basis without warranty of any kind. 1184812349 is maintained by the National Plan & Provider Enumeration System. The contents of Kenroy Greenidge COTA/L are for informational purposes only.