Organization
CRADDLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAKIRAT OLABISI AROWOROWON COTA/L (CEO)
(443) 857-7475
Entity
Organization
Contact information
Practice address
1319 WOODBRIDGE STATION WAY STE 102, EDGEWOOD, MD 21040-3852
(443) 857-7475
Mailing address
5310 OLD COURT RD STE 303, RANDALLSTOWN, MD 21133-6202
(443) 857-7985
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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