Individual
BENJAMIN A ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4677 HIRTH HILL RD W, GROVE CITY, OH 43123-4513
(614) 273-9548
Mailing address
7933 DAIRY LN, ATHENS, OH 45701-9392
(614) 273-9548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
UJ877679
OH
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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