Organization
CPT
Active
Other names
potomac behavioral and occupational therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCHNABLY (OWNER)
(214) 435-4752
Entity
Organization
Contact information
Practice address
249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
(240) 362-7444
Mailing address
249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
(240) 362-7444
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
R201919
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789005200
—
MD
Enumeration date
07/17/2015
Last updated
07/17/2015
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