Jessica Marie Roth

NPI #1083389597 in Belleville, Illinois

Provider Information

NPI Number: 1083389597
Entity Type: Individual
Name: Jessica Marie Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 16, 2021
Last Updated: Aug 16, 2021

Practice Location

Address: 1021 W E ST
City: Belleville
State: Illinois
ZIP Code: 62220-1055
Phone: (618) 233-2095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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