Individual
KEITH RICHARD ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1108 NORTHVIEW DR, HILLSBORO, OH 45133-1184
(937) 393-6163
(937) 393-6295
Mailing address
220 MULLIGAN DR, NEW VIENNA, OH 45159-9053
(440) 453-3657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14950
OH
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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