Individual
MRS. DIANE B. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 E PALMETTO ST, FLORENCE, SC 29506-4015
(843) 664-8459
Mailing address
25 MANIGAULT CT, FLORENCE, SC 29501-8828
(843) 317-9892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
952
SC
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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