Individual
MRS. LORI ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
1 WAHOO DRIVE, GROTON, CT 06349-3809
(860) 694-4974
Mailing address
33 ELM ST, DEEP RIVER, CT 06417-1740
(410) 980-7200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011340
CT
225100000X
Physical Therapist
15705
MA
225100000X
Physical Therapist
21817
MD
225100000X
Physical Therapist
60311223
WA
Other
Enumeration date
01/17/2014
Last updated
03/08/2020
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