Mr Gary L Roth, OTR in Killington, VT - Occupational Therapist

Mr Gary L Roth, OTR is a Occupational Therapist - Neurorehabilitation based in Killington, Vermont. Mr Gary L Roth is licensed to practice in Vermont (license number 0720000081) and his current practice location is 143 Lakewood Dr, Killington, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 773-4943.

NPI number for Mr Gary L Roth is 1124289640 and his current mailing address is 143 Lakewood Dr, Killington, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124289640.

Contact Information

	Mr Gary L Roth, OTR
	143 Lakewood Dr, Killington, VT 05751-9476
	(802) 773-4943
	Not Available

Healthcare Provider's Profile

Full Name	Mr Gary L Roth
Gender	Male
Speciality	Occupational Therapist - Neurorehabilitation
Location	143 Lakewood Dr, Killington, Vermont
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1124289640
Provider Enumeration Date: 06/18/2008
Last Update Date: 06/18/2008

Medical Identifiers

Medical identifiers for Mr Gary L Roth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124289640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XN1300X	Occupational Therapist - Neurorehabilitation	0720000081 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary L Roth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Gary L Roth, OTR 143 Lakewood Dr, Killington, VT 05751-9476 Ph: (802) 773-4943	Mr Gary L Roth, OTR 143 Lakewood Dr, Killington, VT 05751-9476 Ph: (802) 773-4943

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Mr Gary L Roth, OTR - Occupational Therapist in Killington, VT