Organization
DISTRICT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY CAI OTR/L (OCCUPATIONAL THERAPIST)
(240) 593-5439
Entity
Organization
Contact information
Practice address
2111 BALDWIN AVE STE 204, CROFTON, MD 21114-2419
(443) 292-2353
Mailing address
7850 OYSTER SHELL CT, STONEY BEACH, MD 21226-2153
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/01/2024
Last updated
06/20/2024
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