Individual
MRS. KRISTI ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2950 DALE BLVD, DALE CITY, VA 22193-1120
(703) 583-1222
(703) 583-1499
Mailing address
1812 EFTY CT, WOODBRIDGE, VA 22191-4509
(703) 583-2431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000443
VA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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