Individual
AUDREY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
PO BOX 608, SIKESTON, MO 63801-0608
(573) 472-0397
(573) 472-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017003410
MO
Other
Enumeration date
02/06/2017
Last updated
06/25/2019
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