Organization
OG THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORA GOLDMAN (OT/L)
(443) 844-6396
Entity
Organization
Contact information
Practice address
6224 BLACKSTONE AVE, BALTIMORE, MD 21209-3909
(443) 844-6396
Mailing address
6224 BLACKSTONE AVE, BALTIMORE, MD 21209-3909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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