Provider Demographics
NPI:1760448443
Name:ROROS, BETH ANNE (OTR CHT)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANNE
Last Name:ROROS
Suffix:
Gender:F
Credentials:OTR CHT
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANNE
Other - Last Name:WOJCIECHOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1302 BERKELEY AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3528
Mailing Address - Country:US
Mailing Address - Phone:732-531-1945
Mailing Address - Fax:
Practice Address - Street 1:365 BROAD ST STE 3F
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2150
Practice Address - Country:US
Practice Address - Phone:732-383-5785
Practice Address - Fax:732-383-8637
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00368100225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand