Provider Demographics
NPI:1033971072
Name:RATHIE, ERICA JANE (MS)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:JANE
Last Name:RATHIE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MARKET ST FL 21
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-2900
Mailing Address - Country:US
Mailing Address - Phone:302-528-9849
Mailing Address - Fax:
Practice Address - Street 1:1101 MARKET ST FL 21
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-2900
Practice Address - Country:US
Practice Address - Phone:302-528-9849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach