Individual
SUSANN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 VILLAGE WALK, PMB 274, GUILFORD, CT 06437
(203) 430-1949
Mailing address
30 BELLEVIEW DRIVE, DERBY, CT 06418
(203) 734-5516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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