Individual
MR. DARRYL M ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8540 SCARBOROUGH DR STE 200, COLORADO SPRINGS, CO 80920-7513
(719) 630-7500
Mailing address
1090 GOLDEN HILLS RD, COLORADO SPRINGS, CO 80919-7910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00051000
NJ
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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