Erika Mines Campbell, OTR/L

Individual provider Active NPI Occupational Therapist · Brandywine, MD

NPI 1083857403 · NPPES record last updated Sep 25, 2020

Key facts

NPI
1083857403
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
05814 (MD)
Practice address
13228 Hampton Farm LN
Brandywine, MD 20613-5811
Phone
(301) 237-9523
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05814MDMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 05814 MD Yes
Contractor 171W00000X 05814 MD

Addresses

Primary practice location

13228 Hampton Farm LN
Brandywine, MD 20613-5811

Mailing address

6368 Coventry Way Ste 363
Clinton, MD 20735-2256
Phone (301) 237-9523

Other providers in Brandywine, MD

All providers in Brandywine, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.