Healthcare Provider Details

I. General information

NPI: 1629911805
Provider Name (Legal Business Name): BUBBLES & BEAMS PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 RED CEDAR PL UNIT 307
BALTIMORE MD
21209-5405
US

IV. Provider business mailing address

6350 RED CEDAR PL UNIT 307
BALTIMORE MD
21209-5405
US

V. Phone/Fax

Practice location:
  • Phone: 313-720-7213
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHOSHANA SOSKIL
Title or Position: OWNER
Credential: OTR/L
Phone: 313-720-7213