Provider Demographics
NPI:1508198821
Name:ROTTEVEEL, SABINE
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:ROTTEVEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 DEERFIELD CT
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-2014
Mailing Address - Country:US
Mailing Address - Phone:484-433-2683
Mailing Address - Fax:
Practice Address - Street 1:135 DEERFIELD CT
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-2014
Practice Address - Country:US
Practice Address - Phone:484-433-2683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPI 110354390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program