Stacy Roth
NPI #1295431021 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1295431021
- Entity Type
- Individual
- Name
- Stacy Roth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Feb 2, 2023
- Last Updated
- Feb 2, 2023
Practice Location
- Address
- 373 WOODBRIDGE ST
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-3060
- Phone
- (224) 616-9578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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