# BLAISING FIT MOM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blaising Integrative Pathways
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083472773
- **Authorized official:** KENDRA PLUMMER OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (240) 241-0758

## Contact information

- **Practice address:** 11446 ABBOTTSWOOD CT, UPPER MARLBORO, MD 20774-1654
- **Practice address phone:** (202) 246-4926
- **Mailing address:** 11446 ABBOTTSWOOD CT, UPPER MARLBORO, MD 20774-1654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 06/28/2024