Provider Demographics
NPI:1902133309
Name:LOTH, NOREEN PATRICIA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:PATRICIA
Last Name:LOTH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:NOREEN
Other - Middle Name:PATRICIA
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5119 BRANDYWINE DR
Mailing Address - Street 2:
Mailing Address - City:EAGLEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1159
Mailing Address - Country:US
Mailing Address - Phone:215-593-0538
Mailing Address - Fax:
Practice Address - Street 1:3075 W RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1534
Practice Address - Country:US
Practice Address - Phone:610-265-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010244225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics