Organization
KIDS N' PLAY OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYNA D. SHAW M.S., O.T. R./L. (OCCUPATIONAL THERAPIST)
(267) 270-1987
Entity
Organization
Contact information
Practice address
511 DEMBYTOWN RD, JOPPA, MD 21085-4108
(267) 270-1987
Mailing address
511 DEMBYTOWN RD, JOPPA, MD 21085-4108
(267) 270-1987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480019200
—
MD
Enumeration date
04/18/2022
Last updated
04/18/2022
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