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Contact Information

CHRISTIAN W ROTH, PT, CHT
301 S LAFAYETTE ST
SOUTH LYON, MI48178-1407
 Phone: 248-486-1110
 Fax: 248-486-3318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Hand

2251H1200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CHRISTIAN W ROTH · (Male)

NPI # 1497747323
Status Active
Credentials PT, CHT
Entity Individual
Enumeration date 08/17/2005
Last updated 11/11/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501000577
  • MI Medicaid 4709236
  • MI Other 0H71069 BCBSMI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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