Provider Demographics
NPI:1427329408
Name:CANTOR, NECHAMAH A (OTR/L)
Entity type:Individual
Prefix:
First Name:NECHAMAH
Middle Name:A
Last Name:CANTOR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 YESHIVA LN
Mailing Address - Street 2:1A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1142
Mailing Address - Country:US
Mailing Address - Phone:410-486-5292
Mailing Address - Fax:
Practice Address - Street 1:409 YESHIVA LN
Practice Address - Street 2:1A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1142
Practice Address - Country:US
Practice Address - Phone:410-486-5292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04355225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist