Organization
PERSONALIZED THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ANN LOHWATER (OWNER)
(301) 862-2505
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD UNIT 101, WALDORF, MD 20602-3223
(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
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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