Individual
TRICIA L ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 HANOVER PARK DR, JACKSONVILLE, FL 32224-8602
(904) 572-6804
Mailing address
861139 WORTHINGTON DR, YULEE, FL 32097-6449
(904) 572-6804
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002350400
—
FL
Enumeration date
07/29/2010
Last updated
06/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us