Individual
ELLEN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3221 EASTLAKE AVE E APT 110, SEATTLE, WA 98102-7125
(206) 405-1864
Mailing address
3221 EASTLAKE AVE E APT 110, SEATTLE, WA 98102-7125
(206) 405-1864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002633
WA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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