Provider Demographics
NPI:1104180660
Name:ROTHWELL, SABRINA JANINE (SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:JANINE
Last Name:ROTHWELL
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION
Other - Prefix:MRS
Other - First Name:SABRINA
Other - Middle Name:JANINE
Other - Last Name:ROTHWELL-BAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPECIAL EDUCATION
Mailing Address - Street 1:36 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1474
Mailing Address - Country:US
Mailing Address - Phone:845-800-6419
Mailing Address - Fax:
Practice Address - Street 1:2277 GOSHEN TPKE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4032
Practice Address - Country:US
Practice Address - Phone:845-692-4391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist