Individual
MR. JAMES H ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14699 EAST HAMPDEN AVENUE, AURORA, CO 80014
(303) 693-0111
Mailing address
5212 VILLAGE CREEK DR, PLANO, TX 75093-5066
(972) 447-9800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012604
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012604
COLORADO DEPARTMENT OF REGULATORY AGNCIES
CO
Enumeration date
06/14/2017
Last updated
06/14/2017
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