Provider Demographics
NPI:1073897815
Name:ROTHMAN, BETH (DPT)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 LAWRENCEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4320
Mailing Address - Country:US
Mailing Address - Phone:609-933-6966
Mailing Address - Fax:609-279-0634
Practice Address - Street 1:914 LAWRENCEVILLE RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-4320
Practice Address - Country:US
Practice Address - Phone:609-933-6966
Practice Address - Fax:609-279-0634
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00309900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist