Individual
MARIA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8601 STENTON AVE, WYNDMOOR, PA 19038-8312
(215) 233-6861
Mailing address
921 HERITAGE DR, EAGLEVILLE, PA 19403-3876
(215) 601-3933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004031
PA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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