MEDICARE: MRS. DEBORA LEE ROTHWELL INDEPENDANT PROVIDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	0099559	OH

General Provider Information

NPI Number	:	1871190298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORA LEE ROTHWELL INDEPENDANT PROVIDER

Provider Business Mailing Address
First Line	:	14561 SALEM CHURCH RD
Second Line	:
City	:	MOUNT ORAB
State	:	OH
Zip	:	45154
Country	:	US
Telephone Number	:	513-546-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	14561 SALEM CHURCH RD
Second Line	:
City	:	MOUNT ORAB
State	:	OH
Zip	:	45154
Country	:	US
Telephone Number	:	513-546-2250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2020
Last Update Date	:	12/07/2025

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