Individual
REBECCA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
377 UNION AVE, BRIDGEWATER, NJ 08807-3108
(908) 725-2366
Mailing address
1 ANDREANN DR, ANNANDALE, NJ 08801-3373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00813100
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00813100
NJ
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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