# CPT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potomac Behavioral and Occupational Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063909448
- **Authorized official:** TIFFANY KENNELL (BILLING/CREDENTIALING MANAGER)
- **Authorized official phone:** (301) 722-0616

## Contact information

- **Practice address:** 249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
- **Practice address phone:** (240) 362-7444
- **Mailing address:** 249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
- **Mailing address phone:** (240) 362-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 06/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 240904600 | — | MD |