Miriam Roth, OTR

NPI #1912284894 in Lawrence, New York

Provider Information

NPI Number: 1912284894
Entity Type: Individual
Name: Miriam Roth, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Nov 7, 2011
Last Updated: Nov 7, 2011

Practice Location

Address: 1049 NEW MCNEIL AVE
City: Lawrence
State: New York
ZIP Code: 11559-1725
Phone: (516) 242-5313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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