Provider Demographics
NPI:1538769260
Name:B.A.M THERAPY SERVICES LLC
Entity type:Organization
Organization Name:B.A.M THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOLANLE
Authorized Official - Middle Name:AMINAT
Authorized Official - Last Name:MAJEKODUNMI
Authorized Official - Suffix:
Authorized Official - Credentials:MSOT OTR/L
Authorized Official - Phone:773-220-5015
Mailing Address - Street 1:10907 FORESTGATE PL
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-2047
Mailing Address - Country:US
Mailing Address - Phone:240-587-6270
Mailing Address - Fax:240-201-2154
Practice Address - Street 1:10907 FORESTGATE PL
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-2047
Practice Address - Country:US
Practice Address - Phone:773-220-5015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty