Individual
CORRINE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
(214) 442-4329
Mailing address
3100 OLYMPUS BLVD, COPPELL, TX 75019-5472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020022843
MO
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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