Individual
MARC ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6503 HAL COURT, BALTIMORE, MD 21209
(443) 857-9209
Mailing address
6503 HAL COURT, BALTIMORE, MD 21209
(410) 653-9524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20969
MD
2251P0200X
Pediatric Physical Therapist
20969
MD
Other
Enumeration date
02/27/2012
Last updated
03/01/2012
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