NPI | 1487296604 |
---|---|
Doing Business As | FREDERICK SLP AND OT |
Entity Type | Organization |
Authorized Contact | KRYSTEN HARTLE Office Manager 301-668-1852 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2019-10-09 |
Last Update Date | 2022-06-15 |