Individual
TRACY ROSHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 OAK ST, MARION, OH 43302-2263
(740) 375-0840
Mailing address
340 OAK ST, MARION, OH 43302-2263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA06786
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740211481
NOT SURE
OH
Enumeration date
10/29/2012
Last updated
10/29/2012
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