Individual
STEPHANIE ROTHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
710 W 13TH AVE, ESCONDIDO, CA 92025-5511
(760) 291-2700
Mailing address
710 W 13TH AVE, ESCONDIDO, CA 92025-5511
(760) 291-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012021070
MO
224Z00000X
Occupational Therapy Assistant
OTA4012
CA
224Z00000X
Occupational Therapy Assistant
OTA4012
—
Other
Enumeration date
07/18/2012
Last updated
12/17/2023
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