Provider Demographics
NPI:1477998342
Name:ROTHHARPT, LORI ANN (MRP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:ROTHHARPT
Suffix:
Gender:F
Credentials:MRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-2116
Mailing Address - Country:US
Mailing Address - Phone:610-404-4791
Mailing Address - Fax:
Practice Address - Street 1:538 W 2ND ST
Practice Address - Street 2:
Practice Address - City:BIRDSBORO
Practice Address - State:PA
Practice Address - Zip Code:19508-2116
Practice Address - Country:US
Practice Address - Phone:610-404-4791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist