Individual
GINA ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-4067
Mailing address
PO BOX 13579, READING, PA 19612-3579
(846) 281-3244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016996
PA
Other
Enumeration date
06/29/2023
Last updated
08/20/2025
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