Healthcare Provider Details

I. General information

NPI: 1700798568
Provider Name (Legal Business Name): MS. COURTNEY GEHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S HICKORY AVE
BEL AIR MD
21014-3731
US

IV. Provider business mailing address

4010 E BAKER AVE
ABINGDON MD
21009-1437
US

V. Phone/Fax

Practice location:
  • Phone: 410-838-7300
  • Fax:
Mailing address:
  • Phone: 443-866-5126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10856
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: