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Riley Noelle Roth

Physical Therapy Assistant in Woodstock, GA. Individual provider (NPI-1).

NPI number1821663006
StatusActive
Last updated in NPPESMay 20, 2021

Details

NPI
1821663006
Entity type
Individual (NPI-1)
Name
Riley Noelle Roth
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2021
Certification date
May 20, 2021
Last updated
May 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA7366IDYes

Practice location

1816 Eagle Dr Ste 100-C
Woodstock, GA 30189-8273

Phone 770-516-9191

Mailing address

20302 43rd Ave E
Spanaway, WA 98387-6718

Phone 253-682-9519

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Other Physical Therapy Assistant providers in Woodstock, GA

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