Individual
MRS. ERIKA MCGEE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 E CENTRE ST, BALTIMORE, MD 21202-3619
(410) 659-5990
Mailing address
3210 EVERGREEN AVE, BALTIMORE, MD 21214-2337
(443) 919-1823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21259
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 21259
PT LICENSE NUMBER
MD
Enumeration date
12/20/2006
Last updated
07/08/2007
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