Provider Demographics
NPI:1558477554
Name:ROHRER, BETH L (DPT)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:L
Last Name:ROHRER
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 1:14412 GOLDEN OAK CT
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2248
Mailing Address - Country:US
Mailing Address - Phone:703-830-6488
Mailing Address - Fax:
Practice Address - Street 1:14412 GOLDEN OAK CT
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2248
Practice Address - Country:US
Practice Address - Phone:703-830-6488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203141225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist