Organization
UNBRIDLED REHABILITATION SERVICES
Active
Other names
Unbridled Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN M ROE MS, OTR/L (OWNER, BUSINESS MANAGER)
(410) 970-2400
Entity
Organization
Contact information
Practice address
11419 CRONRIDGE DR STE 9, OWINGS MILLS, MD 21117-6283
(410) 970-2400
(410) 774-4090
Mailing address
11419 CRONRIDGE DR STE 9, OWINGS MILLS, MD 21117-6283
(410) 970-2400
(410) 774-4090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07466
MD
225XP0200X
Pediatric Occupational Therapist
04742
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
846202000
—
MD
Enumeration date
05/28/2015
Last updated
02/01/2021
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