Individual
MRS. TERESA LYNN ROTHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 HEIDELBERG DR, WERNERSVILLE, PA 19565-1642
(610) 927-8160
Mailing address
1 HEIDELBERG DR, WERNERSVILLE, PA 19565-1642
(610) 927-8160
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OC001086L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC001086L
STATE LICENSE
PA
Enumeration date
01/08/2010
Last updated
01/08/2010
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