Provider Demographics
NPI:1073125795
Name:ROTAR, CHRISTINE CAROLINE (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CAROLINE
Last Name:ROTAR
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710A LEONA ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2349
Mailing Address - Country:US
Mailing Address - Phone:440-324-0092
Mailing Address - Fax:440-324-0093
Practice Address - Street 1:710A LEONA ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2349
Practice Address - Country:US
Practice Address - Phone:440-324-0092
Practice Address - Fax:440-324-0093
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225100000X
VACP017539T225100000X
OHPT018746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist