# KIDS THRIVE THERAPY

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

## Provider details

- **NPI number:** 1932758786
- **Authorized official:** KATY BURGER MS, OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (410) 375-2459

## Contact information

- **Practice address:** 118 DEEP DALE DR, TIMONIUM, MD 21093-3009
- **Practice address phone:** (443) 761-8035
- **Mailing address:** 118 DEEP DALE DR, TIMONIUM, MD 21093-3009
- **Mailing address phone:** (443) 761-8035

## Taxonomy

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

## Other

- **Enumeration date:** 09/04/2019
- **Last updated:** 09/04/2019
