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Organization

PERSONALIZED THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MELANIE A LOHWATER OTR/L (OTR/L)
(301) 904-2351
Entity
Organization

Contact information

Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619
(301) 862-2505
(301) 862-2548
Mailing address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3054
(301) 862-2505
(301) 862-2548

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
106E00000X
Assistant Behavior Analyst
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
06/22/2006
Last updated
08/30/2018
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