Individual
HOWARD L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
12707 120TH AVE NE, SUITE 100, KIRKLAND, WA 98034-7500
(425) 820-2110
(425) 820-2111
Mailing address
5911 FREMONT AVE N, SEATTLE, WA 98103-5844
(206) 784-7656
(425) 820-2111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7096613
—
WA
Enumeration date
11/01/2006
Last updated
07/09/2007
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