# CRADDLES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821620758
- **Authorized official:** MRS. SHAKIRAT OLABISI AROWOROWON COTA/L (CEO)
- **Authorized official phone:** (443) 857-7475

## Contact information

- **Practice address:** 1319 WOODBRIDGE STATION WAY STE 102, EDGEWOOD, MD 21040-3852
- **Practice address phone:** (443) 857-7475
- **Mailing address:** 5310 OLD COURT RD STE 303, RANDALLSTOWN, MD 21133-6202
- **Mailing address phone:** (443) 857-7985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/09/2020
- **Last updated:** 02/09/2020