Individual
JULIE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197
(734) 712-3531
Mailing address
2605 SALISBURY LN, ANN ARBOR, MI 48103-2363
(734) 761-2738
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
5501007023
MI
Other
Enumeration date
04/23/2007
Last updated
07/27/2018
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