Individual
JENNIFER K ROTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
3400 SPRUCE ST, 5 SILVERSTEIN PAVILION, PHILADELPHIA, PA 19104-4206
(215) 662-6525
Mailing address
57 NUTT RD, 3RD FL, PHOENIXVILLE, PA 19460-3967
(610) 933-3672
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000627L
PA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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