Individual
CORINNE PERGAMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 N CHARLES ST, BALTIMORE, MD 21212-1016
(410) 377-7774
Mailing address
1622 THETFORD RD, TOWSON, MD 21286-8130
(703) 408-5861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07618
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07618
THE MARYLAND STATE BOARD OF OCCUPATIONAL THERAPY PRACTICE
MD
Enumeration date
03/18/2015
Last updated
03/18/2015
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