Individual
MEREDITH ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 F ST, GENEVA, NE 68361-2229
(402) 759-3167
Mailing address
923 F ST, GENEVA, NE 68361-2535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
977
NE
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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