Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT01297 | RI |
Y | 225XH1200X | Occupational Therapist - Hand | OT010001552 | DC |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2143 | NM |
NPI | 1164594602 |
---|---|
Provider Name | Mrs. Beth Rothrock |
First Address | Cranston, RI 02920-6068 |
Second Address | Washington, DC 20006-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 24/01/2020 |