Individual
LAUREN REBECCA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8435 BRIDLE VIEW WAY, COLUMBUS, OH 43240-2059
(740) 412-3780
Mailing address
8435 BRIDLE VIEW WAY, COLUMBUS, OH 43240-2059
(740) 412-3780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006809
OH
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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