Individual
KRYSTAL ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 S NEW YORK RD STE 217, GALLOWAY, NJ 08205-3820
(609) 770-4522
Mailing address
16 BEEMAN PL, SUCCASUNNA, NJ 07876-1336
(973) 796-7711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013381
NJ
225200000X
Physical Therapy Assistant
TE013381
PA
Other
Enumeration date
07/04/2025
Last updated
07/09/2025
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