Individual
CARLY ROTHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(419) 559-9713
Mailing address
4030 SHELL AVE, DAYTON, OH 45415-1456
(419) 559-9713
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/10/2026
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