Individual
RILEY NOELLE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 EAGLE DR STE 100-C, WOODSTOCK, GA 30189-8273
(770) 516-9191
Mailing address
20302 43RD AVE E, SPANAWAY, WA 98387-6718
(253) 682-9519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7366
ID
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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