Gwendolyn Alexander

Individual provider Active NPI Occupational Therapist · Baltimore, MD

NPI 1134445307 · NPPES record last updated Apr 13, 2010

Key facts

NPI
1134445307
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
02178 (MD)
Practice address
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone
(410) 448-6323
Fax
(410) 448-6338
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
No

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
02178MDMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 02178 MD Yes

Addresses

Primary practice location

2200 Kernan Dr
Baltimore, MD 21207-6665

Mailing address

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6323

Other providers in Baltimore, MD

All providers in Baltimore, MD · Occupational Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.