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Individual

AIMEE ELIZABETH ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2650 HOME AVE, COLUMBUS, IN 47201-3103
(317) 989-7387
Mailing address
7244 DUBLIN LN, INDIANAPOLIS, IN 46239-7876
(317) 989-7387

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001135A
IN

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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