Individual
ANNETTE K ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.T.R.S.
Contact information
Practice address
2519 ROCKY RD, CHILLICOTHE, OH 45601-8940
(740) 773-1141
Mailing address
2519 ROCKY RD, CHILLICOTHE, OH 45601-8940
(740) 779-2439
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14464 (NCTRC.ORG)
CTRS-NATIONAL CERT.
—
Enumeration date
07/28/2006
Last updated
07/08/2007
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