M Roth Physical Therapy LLC

NPI #1093481988 in Baltimore, Maryland

Provider Information

NPI Number: 1093481988
Entity Type: Organization
Organization Name: M Roth Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 19, 2021
Last Updated: Aug 19, 2021

Practice Location

Address: 6503 HAL CT
City: Baltimore
State: Maryland
ZIP Code: 21209-2623
Phone: (443) 762-5530

Authorized Official

Name: MRS. TRACY RENNA THOMAS
Title: CREDENTIALING MANAGER
Phone: (410) 663-4036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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