# LEA'S PLACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MD Neuro Rehab & Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649890633
- **Authorized official:** MS. LEA STERNBACH OTR/L (DIRECTOR/OWNER)
- **Authorized official phone:** (443) 360-5527

## Contact information

- **Practice address:** 1848 REISTERSTOWN RD, PIKESVILLE, MD 21208-1379
- **Practice address phone:** (443) 360-5527
- **Mailing address:** 6202 GIST AVE, BALTIMORE, MD 21215-3608
- **Mailing address phone:** (410) 292-8725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2020
- **Last updated:** 04/03/2023
