Healthcare Provider Details

I. General information

NPI: 1699415034
Provider Name (Legal Business Name): DAY TIMERS EARLY INTERVENTION THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 04/01/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9199 REISTERSTOWN RD
OWINGS MILLS MD
21117-4520
US

IV. Provider business mailing address

9199 REISTERSTOWN RD
OWINGS MILLS MD
21117-4520
US

V. Phone/Fax

Practice location:
  • Phone: 410-581-2273
  • Fax:
Mailing address:
  • Phone: 410-581-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA GOLDOVSKY
Title or Position: CEO
Credential:
Phone: 410-581-2273