Individual
PROF. EDWARD A. ROTH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT, MT-BC
Contact information
Practice address
3415 IROQUOIS TRL, KALAMAZOO, MI 49006-2032
(269) 373-0426
Mailing address
3415 IROQUOIS TRL, KALAMAZOO, MI 49006-2032
(269) 373-0426
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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