Organization
OT FOR KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BONNIE F EISENSON M.S., OTR/L (PRESIDENT/OWNER)
(301) 537-5955
Entity
Organization
Contact information
Practice address
966 HUNGERFORD DR STE 7, ROCKVILLE, MD 20850-1742
(301) 537-5955
(301) 740-2069
Mailing address
966 HUNGERFORD DR STE 7, ROCKVILLE, MD 20850-1742
(301) 537-5955
(301) 740-2069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04722
MD
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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