Individual
MRS. JULIE ANN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(571) 598-3118
Mailing address
7624 HOLBROOK CT, MANASSAS, VA 20112-7828
(703) 725-2954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004708
VA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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