Individual
WALDO R ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2121 MARSH TERN CT, NORTH LAS VEGAS, NV 89084-2807
(702) 285-4840
Mailing address
2121 MARSH TERN CT, NORTH LAS VEGAS, NV 89084-2807
(702) 285-4840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0562
NV
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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