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Individual

MRS. PATRICIA DIANE ROH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
119 E BELL ST, NEENAH, WI 54956-4993
(920) 969-1768
(920) 969-1788
Mailing address
119 E BELL ST, NEENAH, WI 54956-4993
(920) 969-1768
(920) 969-1788

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
292156
WI
231HA2400X
Assistive Technology Practitioner Audiologist
292-156
WI
231HA2500X
Assistive Technology Supplier Audiologist
292-156
WI
237600000X
Audiologist-Hearing Aid Fitter
292-156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41136500
WI
Enumeration date
11/13/2006
Last updated
03/17/2018
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