IndividualActive
Charles Coffman, OTL
NPI 1700417409 · Pediatric Occupational Therapist · Baltimore, MD
Provider details
- NPI number
- 1700417409
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTL
- Sex
- Male
- Sole proprietor
- No
- License
- 02396 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
900 S Marlyn Ave
Baltimore, MD 21221-5843
Phone: (410) 665-1140
Approximate (ZIP-level) locationGet directions
Mailing address
2906 Cub Hill Rd
Baltimore, MD 21234-1127
Registry dates
- Enumerated
- 2020-01-31
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.