Individual
ALICIA CARRIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
100 CAMPUS DR, ELKINS, WV 26241-3971
(304) 637-1397
Mailing address
483 TETER RD, BUCKHANNON, WV 26201-9166
(304) 621-1316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001720
WV
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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