Healthcare Provider Details

I. General information

NPI: 1407283534
Provider Name (Legal Business Name): ABOUT KIDS OCCUPATIONAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 REDLAND CT STE 100
OWINGS MILLS MD
21117-3272
US

IV. Provider business mailing address

300 REDLAND CT STE 100
OWINGS MILLS MD
21117-3272
US

V. Phone/Fax

Practice location:
  • Phone: 410-653-3161
  • Fax: 410-653-3261
Mailing address:
  • Phone: 410-653-3161
  • Fax: 410-653-3261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RENEE HEROLD
Title or Position: OWNER/OT
Credential: MS, OTR/L
Phone: 410-653-3161