Provider Demographics
NPI:1386808822
Name:ROTHERMEL, LINDSAY MOHR (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:MOHR
Last Name:ROTHERMEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:ANNE
Other - Last Name:MOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:11350 EXECUTIVE PLAZA IV RD STE LL12
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8997
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11350 EXECUTIVE PLAZA IV RD STE LL12
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8997
Practice Address - Country:US
Practice Address - Phone:410-527-1794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist