Individual
LISA ROTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 GAUTIER ST, TUSKEGEE, AL 36083-2600
(334) 727-2903
Mailing address
189 COUNTY ROAD 196, UNION SPRINGS, AL 36089-4201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
555
AL
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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