Back 2 Basics Nutrition LLC

NPI #1922693423 in Frederick, Maryland

Provider Information

NPI Number: 1922693423
Entity Type: Organization
Organization Name: Back 2 Basics Nutrition LLC
Primary Specialty: Pediatrics
Enumeration Date: Mar 5, 2021
Last Updated: Jul 24, 2023

Practice Location

Address: 5216 CHAIRMANS CT STE 104
City: Frederick
State: Maryland
ZIP Code: 21703-2858
Phone: (410) 598-4336

Authorized Official

Name: LINDSEY GILL CARTER
Title: OWNER
Phone: (410) 598-4336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Counselor - Mental Health — Mental Health	101YM0800X
Occupational Therapist	225X00000X
Pediatrics	208000000X	Primary

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