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1255163838
JONATHAN ROTH
AUSTIN, TX
NPI
1255163838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1397950)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
JONATHAN ROTH
4532 W GATE BLVD STE 100
AUSTIN, TX 78745-1463
Phone number: 512-892-7337
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Mailing Address
JONATHAN ROTH
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 726-202-3039
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