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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629089693 | NPPES |
Other | 102255329 | OWCP |
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