Individual
GREGORY RYAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR, CHT
Contact information
Practice address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 537-0909
(732) 564-9032
Mailing address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 537-0909
(732) 564-9032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00127200
NJ
225XH1200X
Hand Occupational Therapist
46TR00127200
NJ
Other
Enumeration date
05/15/2007
Last updated
02/07/2020
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