Individual provider · Type 1 NPI

Tricia L. Roth

Developmental Therapist · Jacksonville, FL

NPI number 1487968632 Active

Practice location

4308 Hanover Park Dr
Jacksonville, FL 32224-8602

Call (904) 572-6804 Map

Mailing address

861139 Worthington Dr
Yulee, FL 32097-6449

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1487968632

Tricia L. Roth's National Provider Identifier is 1487968632, issued on Jul 29, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 5, 2013.