| Organization Name: | ROBERT W. MAUTHE, M.D. P.C. |
| NPI Number: | 1932241452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA A BOESKEN (OFFICE MANAGER) |
| Mailing Address: | 4676 Route 309 Center Valley |
| State: | PA US |
| Postal Code: | 180348200 |
| Phone Number: | 6107917690 |
| Fax Number: | 6107917693 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | 036783E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |