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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY L ROTH, OTR

Active Sole Proprietor

MR. GARY L ROTH, OTR is a Neurorehabilitation Occupational Therapist healthcare provider located in KILLINGTON, Vermont. NPI 1124289640 is currently active in the NPPES registry. Verify at CMS.

Neurorehabilitation Occupational Therapist · KILLINGTON, VT

Registration Details

NPI Number
1124289640
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2008 (17.966971672933 yrs)
Last Updated
Jun 18, 2008
License
0720000081 (VT)
Sole Proprietor
Yes

Practice Information

Address
143 LAKEWOOD DR
KILLINGTON, VT, 057519476
Browse VT providers · Browse ZIP 05751
Phone
8027734943
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.