Individual
JULIE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 WALNUT ST, NORTH BEND, NE 68649-5012
(402) 652-3242
Mailing address
1914 ATLAS DR, PAPILLION, NE 68133-3400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
957
NE
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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