| NPI | 1609315126 |
|---|---|
| Doing Business As | POTOMAC BEHAVIORAL AND OCCUPATIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIFFANY KENNELL Credentialing Manager 301-722-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |