Provider Demographics
NPI:1508212713
Name:COFIELD, LESTER ANTONIO (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:ANTONIO
Last Name:COFIELD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9081 FLORIN WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5239
Mailing Address - Country:US
Mailing Address - Phone:919-271-4839
Mailing Address - Fax:240-510-5387
Practice Address - Street 1:9221 HAMPTON OVERLOOK
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-3851
Practice Address - Country:US
Practice Address - Phone:919-271-4839
Practice Address - Fax:240-510-5387
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23240225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist