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1720526213
AUDREY ROTH
SIKESTON, MO
NPI
1720526213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2017003410)
Enumeration Date
2017-02-06
Last Update Date
2019-06-25
Business Address
AUDREY ROTH DPT
300 FLOYD DR
SIKESTON, MO 63801-3960
Phone number: 573-472-0397
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Mailing Address
AUDREY ROTH DPT
PO BOX 608
SIKESTON, MO 63801-0608
Phone number: 573-472-0397
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