Roth, Mary C.

Roth, Mary C. is an individual health care provider with primary practice located at 3221 N Windsong Dr , Prescott Valley AZ 86314-1222. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Roth, Mary C. can be contacted via phone (928) 910-7010.

Contact Information

Primary practice address
3221 N Windsong Dr Prescott Valley AZ 86314-1222
Phone: (928) 910-7010
Fax: (928) 910-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7074 Colorado

Profile Details

NPI number 1629089693
LBN Legal business name Roth, Mary C.
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Feb 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629089693 NPPES
Other 102255329 OWCP

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