Individual
MRS. GENA RENE ROSHTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
230 PLEASANT GROVE RD, EL DORADO, AR 71730-9535
(870) 862-4212
Mailing address
230 PLEASANT GROVE RD, EL DORADO, AR 71730-9535
(870) 862-4212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1759
AR
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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