Individual
MS. TERESA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 PINEMONT DR, HOUSTON, TX 77092-3132
(832) 209-7830
Mailing address
5526 LONE CEDAR DR, KINGWOOD, TX 77345-1431
(281) 360-0284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210982
TX
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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