Jena Elizabeth Roth, B.S.

NPI #1023334182 in Somerville, Massachusetts

Provider Information

NPI Number: 1023334182
Entity Type: Individual
Name: Jena Elizabeth Roth, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Credential: B.S.
Enumeration Date: Apr 14, 2010
Last Updated: Apr 9, 2011

Practice Location

Address: 120 SCHOOL ST
Address 2: APT #5
City: Somerville
State: Massachusetts
ZIP Code: 02143-1745
Phone: (612) 850-1066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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