Organization
COLORFUL KIDS OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA LEIGH DAILEY OTR/L (OCCUPATIONAL THERAPIST)
(301) 672-0159
Entity
Organization
Contact information
Practice address
1998 ROCK SPRING RD STE D, FOREST HILL, MD 21050-2664
(301) 672-0159
Mailing address
1301 CHEZ CT, FALLSTON, MD 21047-2206
(301) 672-0159
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255677548
PROVIDER NPI
MD
Enumeration date
11/01/2020
Last updated
11/01/2020
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