Provider Demographics
NPI:1366842528
Name:ROTHWELL, DEBORAH KATHLEEN (RCP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KATHLEEN
Last Name:ROTHWELL
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 SNOWDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3346
Mailing Address - Country:US
Mailing Address - Phone:562-936-1259
Mailing Address - Fax:
Practice Address - Street 1:2161 SNOWDEN AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3346
Practice Address - Country:US
Practice Address - Phone:562-936-1259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23512279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care