Organization
PEDS TELE OT
Active
Other names
Children's Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
LORI STOKES (DIRECTOR)
(443) 926-6418
Entity
Organization
Contact information
Practice address
501 E 41ST ST # 2R, BALTIMORE, MD 21218-1211
(443) 926-6418
Mailing address
501 E 41ST ST 2R, BALTIMORE, MD 21218-1211
(443) 926-6418
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205184200
—
MD
05
—
998025300
—
MD
Enumeration date
08/28/2020
Last updated
05/26/2023
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