Individual provider · Type 1 NPI

Kenroy Greenidge, COTA/L

Occupational Therapy Assistant · Baltimore, MD

NPI number 1184812349 Active

Practice location

1801 Wentworth Rd
Baltimore, MD 21234-6128

Mailing address

107 Summer Woods Way
Owings Mills, MD 21117-1777

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XA01557 (MD)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1184812349

Kenroy Greenidge, COTA/L's National Provider Identifier is 1184812349, issued on Oct 11, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 11, 2007.