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Organization

BACK 2 BASICS NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSEY CARTER MS, RDN (OWNER)
(410) 598-4336
Entity
Organization

Contact information

Practice address
5216 CHAIRMANS CT STE 104, FREDERICK, MD 21703-2858
(410) 598-4336
(443) 280-6441
Mailing address
2028 LIBERTY RD STE 103, ELDERSBURG, MD 21784-5079
(410) 598-4336
(443) 280-6441

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX3870
MD
133V00000X
Registered Dietitian
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/18/2016
Last updated
07/24/2023
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