Individual
CHARLES DAVID COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTL
Contact information
Practice address
900 S MARLYN AVE, BALTIMORE, MD 21221-5843
(410) 665-1140
Mailing address
2906 CUB HILL RD, BALTIMORE, MD 21234-1127
(410) 887-0174
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
02396
MD
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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