Individual
ILANA ROTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
685 RIVER AVE, LAKEWOOD, NJ 08701-5288
(800) 400-7342
Mailing address
340 HARBISON RD, WAYNE, PA 19087-5203
(516) 581-9832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
026750
NY
235Z00000X
Speech-Language Pathologist
Primary
SL013691
PA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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