Organization
PEDS TELE OT
Active
Parent organization
PEDS TELE OT
Other names
Children's Therapy Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDS TELE OT
Authorized official
LORI STOKES (DIRECTOR)
(443) 926-6418
Entity
Organization
Contact information
Practice address
501 E 41ST ST, 2R, BALTIMORE, MD 21218-4784
(443) 926-6418
Mailing address
501 E 41ST ST, 2R, BALTIMORE, MD 21218-4784
(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
Enumeration date
05/21/2021
Last updated
05/25/2023
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