Individual
COLETTE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 POLLARD RD, LOS GATOS, CA 95032-1438
(408) 378-6131
Mailing address
815 POLLARD RD, LOS GATOS, CA 95032-1438
(408) 378-6131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10533
MN
225100000X
Physical Therapist
Primary
PT301602
CA
225100000X
Physical Therapist
PT6136
ME
225100000X
Physical Therapist
PTL.0018171
CO
Other
Enumeration date
10/30/2016
Last updated
04/18/2022
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