Individual
ABIGAIL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1502 W JACKSON BLVD, JACKSON, MO 63755-3010
(573) 587-2520
(573) 243-3413
Mailing address
1502 W JACKSON BLVD, JACKSON, MO 63755-3010
(573) 587-2520
(573) 243-3413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024003805
MO
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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