Benjamin S Roth

NPI #1124618046 in Le Roy, Illinois

Provider Information

NPI Number: 1124618046
Entity Type: Individual
Name: Benjamin S Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 25, 2021
Last Updated: Jan 25, 2021

Practice Location

Address: 200 E CEDAR ST STE 3
City: Le Roy
State: Illinois
ZIP Code: 61752-1903
Phone: (309) 962-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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