Organization
POTOMAC FEEDING AND SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BOXBAUM MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(267) 241-6801
Entity
Organization
Contact information
Practice address
12265 GREENLEAF AVE, POTOMAC, MD 20854-3328
(267) 241-6801
Mailing address
12265 GREENLEAF AVE, POTOMAC, MD 20854-3328
(267) 241-6801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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