Healthcare Provider Details

I. General information

NPI: 1871800862
Provider Name (Legal Business Name): THE THERAPY SPOT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2010
Last Update Date: 05/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 SUDBROOK LN STE A
PIKESVILLE MD
21208
US

IV. Provider business mailing address

115 SUDBROOK LN STE A
PIKESVILLE MD
21208-4184
US

V. Phone/Fax

Practice location:
  • Phone: 410-358-1997
  • Fax: 866-840-6040
Mailing address:
  • Phone: 410-358-1997
  • Fax: 866-840-6040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberA01760
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number06400
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number06537
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6376
License Number StateMD

VIII. Authorized Official

Name: MARSHA KAREN SCHNITZER
Title or Position: OWNER
Credential:
Phone: 410-358-1997