Provider Demographics
NPI:1356589659
Name:ROHRBACH, JUDITH D (OTR/L)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:D
Last Name:ROHRBACH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:CHILDREN'S DEVELOPMENTAL PROGRAM
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-0008
Mailing Address - Country:US
Mailing Address - Phone:215-536-8359
Mailing Address - Fax:215-536-9699
Practice Address - Street 1:501 W BROAD ST
Practice Address - Street 2:CHILDREN'S DEVELOPMENTAL PROGRAM
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1215
Practice Address - Country:US
Practice Address - Phone:215-536-8359
Practice Address - Fax:215-536-9699
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004212L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOTRCDPMedicare Oscar/Certification