Provider Demographics
NPI:1174525737
Name:ENGLISH, ROBERT A (OTR LCHT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:OTR LCHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 CHARTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3631
Mailing Address - Country:US
Mailing Address - Phone:410-992-7800
Mailing Address - Fax:410-720-2190
Practice Address - Street 1:10700 CHARTER DR STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3631
Practice Address - Country:US
Practice Address - Phone:410-992-7800
Practice Address - Fax:410-720-2190
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02652225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P36843Medicare UPIN
624RMedicare ID - Type Unspecified