Small Steps, Big Leaps, black and white photo of Stephanie on the floor with a baby looking at a screen

Pediatric Occupational Therapy & Feeding Services

two blonde hair toddler boys playing with building blocks on a table

Pediatrics

Sensory Processing skills
Regulation skills
Primitive reflex integration
Proximal and postural strengthening
Bilateral integration
Motor planning and motor coordination skills
Fine motor and visual motor skills
Self-care and independence skills
Delayed milestone achievement
Impulse Control
Executive functioning
Play skills

Infants

What We Treat:

Belly issues and GI discomfort (constipation, gassiness)
Excessive spit up and reflux
Leaking milk from sides of mouth
Slow weight gain
Colic
Bottle or breast refusal
Painful or uncomfortable breastfeeding
Head flattening
Torticollis and side preferences
Muscle tension
Delayed developmental milestones

Pre Tongue Tie Release Therapy

assessment & procedure prep
oral motor skill development
sensory desensitization
body alignment & posture
lactation support
wound care & healing
oral motor retraining
sensory integration

picture of head flattening on baby next to a picture where the babies head is no longer flattened

baby in purple onesie with tube in nose sitting on the floor

boy with blonde hair and blue shirt eating a strawberry working on picky eating

Feeding Therapy

Are mealtimes stressful for your family? Small Steps, Big Leaps utilizes a sensorimotor-based approach. We provide a no pressure, stress-free and fun method for exploring foods!

Does your child struggle with...?

Picky eating (eats 20 or less foods)
Transitioning to solid foods
Only eating bland (tan, white, or brown) or specific brands of food
Avoiding complete food groups
Frequently coughing/choking or gagging on food
Poor weight gain
Chewing for extended periods of time OR swallowing foods whole
Overstuffing or pocketing foods
Requiring bribing or distractions to eat their meal
Sitting still at mealtimes

Our Services

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Where to find us...

Clinic Visits

Located in Hanover, PA

At our office visits, your child will have access to diverse sensory equipment to help meet their unique needs. This is also a good way to trial equipment that will work well for your child as well as teach you how to use the therapy equipment to support your child's goals. Office visits also give your child the opportunity to separate therapy & time at home.

therapy room with occupational therapist equipment hanover pa

pediatric OT services, pediatric therapist sitting on the floor with an infant playing

In-Home

Small Steps, Big Leaps provides home-based services for families within 25 miles of the clinic. Home visits can be a great option for families to learn how to use the equipment/toys they already have at home to support goals, 'real time' work on challenge areas, and provide convenience for you as your therapist travels to you!

Virtual Appointments

Located in Maryland or Pennsylvania but too far to travel to our clinic or for home visits? Telehealth sessions can be a great option to meet your child's goals!

mother and baby playing with toys on a couch cushion on the floor

*We also see babies for pre & post tongue tie release therapy at East Berlin Smiles and Buehler Family Dental with a referral. Please contact us for questions.

“Highly recommend Small Steps, Big Leaps OT. Our kids always looked forward to their play-based sessions. It didn't take long before we were noticing a difference in our daughter’s eating habits and our toddler’s constipation.. It was a fun experience for the kids, and an educational experience for us. We are so grateful for Steph and how her OT contributed to the well-being of our children."

Andrew J.

"We started OT with our 2-year-old to help with regulation and some low tone/drooling concerns. Stephanie has been nothing but great every step of the way! She really prioritizes connecting with him and ensures that my son is comfortable and engaged. The connection she has developed with my son has allowed him to gain so much from her services. We cannot recommend Stephanie enough!"

Sierra M.

“After an emergency birth and NICU stay, our daughter faced fussiness and colic. We began working with Stephanie and started to see huge improvements in our daughters disposition and mobility through muscle strengthening exercises as well as emotional regulation exercises. Stephanie takes an effective yet gentle approach and encourages "mama breaks" when needed. I highly recommend her!”