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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHAL MICHELLE HELFGOTT (OCCUPATIONAL THERAPIST)
(240) 418-4820
Entity
Organization

Contact information

Practice address
14 W PATRICK ST, FREDERICK, MD 21701-5666
(301) 668-1515
Mailing address
11815 SMOKETREE RD, POTOMAC, MD 20854-3468

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
06520
MD

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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