Healthcare Provider Details

I. General information

NPI: 1184914111
Provider Name (Legal Business Name): ONE STEP FORWARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 BUSINESS PKWY SUITE L
LANHAM MD
20706-1840
US

IV. Provider business mailing address

9901 BUSINESS PKWY SUITE L
LANHAM MD
20706-1840
US

V. Phone/Fax

Practice location:
  • Phone: 301-731-0003
  • Fax: 301-731-4838
Mailing address:
  • Phone: 301-731-0003
  • Fax: 301-731-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN PITTS
Title or Position: OWNER
Credential:
Phone: 301-731-0003