Individual
MICHELLE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2505 SOUTHHURST DR SE, HUNTSVILLE, AL 35803-2987
(256) 883-9550
Mailing address
2505 SOUTHHURST DR SE, HUNTSVILLE, AL 35803-2987
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1273
AL
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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