Healthcare Provider Details

I. General information

NPI: 1255967188
Provider Name (Legal Business Name): STAY PUT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 03/23/2020
Certification Date: 03/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 OLD POST DR
BALTIMORE MD
21208-3201
US

IV. Provider business mailing address

3118 OLD POST DR
BALTIMORE MD
21208-3201
US

V. Phone/Fax

Practice location:
  • Phone: 703-220-1812
  • Fax:
Mailing address:
  • Phone: 703-220-1812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARGERY FOX KWART
Title or Position: OWNER
Credential: MS, OTR/L, CAPS
Phone: 703-220-1812