BRIAN WILLIAM ROTH

AUBURN, IN
NPI1033285846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05007103A)
Enumeration Date2006-11-27
Last Update Date2010-04-08
Business Address
Mr. BRIAN WILLIAM ROTH MPT
510 N GRANDSTAFF DR
AUBURN, IN 46706
Phone number: 260-927-9270
Mailing Address
Mr. BRIAN WILLIAM ROTH MPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
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