Individual
ANDREW JEREMIAH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, SCS, ATC
Contact information
Practice address
29017 CHARDON RD, WILLOUGHBY HILLS, OH 44092-1475
(440) 516-5414
(440) 516-5197
Mailing address
4501 BIRCHWOLD RD, CLEVELAND, OH 44121-4217
(617) 680-2195
(440) 516-5197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016194
OH
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
09/27/2011
Last updated
02/15/2024
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