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Individual

CHRISTOPHER ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
400 MONTAUK HWY, STE 103, WEST ISLIP, NY 11795-4429
(631) 661-3700
(631) 661-3749
Mailing address
400 MONTAUK HWY, STE 103, WEST ISLIP, NY 11795-4429
(631) 661-3700
(631) 661-3749

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022293
NY

Other

Enumeration date
02/09/2006
Last updated
06/12/2014
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