Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA CHERNOFF (OFFICE MANAGER)
(410) 415-3743
Entity
Organization
Contact information
Practice address
3101 FALLSTAFF RD, BALTIMORE, MD 21209-2967
(410) 415-3743
Mailing address
3118 MARNAT RD, BALTIMORE, MD 21208-4503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
09/12/2025
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