| NPI | 1063909448 |
|---|---|
| Doing Business As | POTOMAC BEHAVIORAL AND OCCUPATIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIFFANY KENNELL Billing/Credentialing Manager 301-722-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-06-16 |