Individual
CARRIE ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 BEARD RD, NEW WATERFORD, OH 44445-9731
(330) 719-3262
Mailing address
1147 BEARD RD, NEW WATERFORD, OH 44445-9731
(330) 719-3262
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003768
OH
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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