Richelle Jacqueline Roth
Occupational Therapist - Pediatrics
9975 Medical Center Dr
Rockville
, Maryland 20850-3316
Richelle Jacqueline Roth
Occupational Therapist - Pediatrics
9975 Medical Center Dr
Rockville
, Maryland 20850-3316
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Richelle Jacqueline Roth
- The Treatment And Learning Centers 2092 Gaither Rd. Ste. 100
- Rockville, MD
- Zip : 20850
- Phone :
Second Address
- Richelle Jacqueline Roth
- 9975 Medical Center Dr
- Rockville, MD
- Zip : 20850-3316
- Phone : (301) 738-9691
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 08420 | MD |
National Provider Identifier
| NPI | 1073019782 |
|---|---|
| Provider Name | Richelle Jacqueline Roth |
| First Address | Rockville, MD 20850 |
| Second Address | Rockville, MD 20850-3316 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2018 |
| Last Update Date | 02/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.