Back 2 Basics Nutrition Llc

Pediatrics · Eldersburg, MD

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At a glance

2028 Liberty Rd Ste 103, Eldersburg, MD 21784-5079

NPPES record updated Apr 28, 2022. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

2028 Liberty Rd Ste 103
Eldersburg, MD 21784-5079
Professional details: NPI, taxonomy & registry record
NPI1629713201
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Registry details

Primary taxonomy
Pediatrics
Taxonomy code
208000000X
Enumeration date
Apr 28, 2022
Record updated
Apr 28, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TC1900X

Pediatrics

208000000X · Primary

Physical Therapist

225100000X

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2028 Liberty Rd Ste 103
Eldersburg, MD 21784-5079
Phone
(410) 598-4336
Mailing address
2028 LIBERTY RD STE 103

ELDERSBURG, MD 217845079
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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