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Individual

MRS. LAUREN ELIZABETH ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1630 MCCALLIE AVE, CHATTANOOGA, TN 37404-3021
(423) 698-5590
(423) 698-5519
Mailing address
1630 MCCALLIE AVE, CHATTANOOGA, TN 37404-3021
(423) 698-5590
(423) 698-5519

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004230
TN
225200000X
Physical Therapy Assistant
PTA002488
GA

Other

Enumeration date
05/09/2011
Last updated
05/09/2011
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