Organization
SPEECH LEAP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARA SHALOM (OWNER)
(410) 394-8794
Entity
Organization
Contact information
Practice address
1700 REISTERSTOWN RD STE 226, PIKESVILLE, MD 21208-1416
(410) 394-8794
Mailing address
1700 REISTERSTOWN RD STE 226, PIKESVILLE, MD 21208-1416
(410) 394-8794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
05/31/2023
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