| Outdoor Therapeutics, Llc | |
|
12410 Milestone Center Drive Ste 600- #652 Germantown MD 20876 | |
| (301) 200-1233 | |
| (866) 703-0009 |
| Full Name | Outdoor Therapeutics, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12410 Milestone Center Drive, Germantown, Maryland |
| Authorized Official Name and Position | Krista Bajgier (OWNER) |
| Authorized Official Contact | 3012001233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outdoor Therapeutics, Llc Po Box 711 Frederick MD 21705 Ph: (301) 200-1233 | Outdoor Therapeutics, Llc 12410 Milestone Center Drive Ste 600- #652 Germantown MD 20876 Ph: (301) 200-1233 |
| NPI Number | 1760146302 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760146302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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