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1184812349
KENROY GREENIDGE
BALTIMORE, MD
NPI
1184812349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD a01557)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
Mr. KENROY GREENIDGE COTA/L
1801 WENTWORTH RD
BALTIMORE, MD 21234-6128
Phone number: 410-661-5717
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Mailing Address
Mr. KENROY GREENIDGE COTA/L
107 SUMMER WOODS WAY
OWINGS MILLS, MD 21117-1777
Phone number: 410-902-1379
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