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NPI 1386430890

NPI 1386430890 : CHRISTINE ROTH PT : SANTA BARBARA, CA

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General NPI Number Information
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    NPI Number           |    1386430890
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE ROTH PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/21/2025
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    227 E ANAPAMU ST 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93101-2005
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    Country              |    US
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    Telephone            |    310-531-3099
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    227 E ANAPAMU ST 
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    City                 |    SANTA BARBARA
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    State                |    CA
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    Zip                  |    93101-2005
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    Country              |    US
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    Telephone            |    805-963-4428
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    19939
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    License Number State |    CA
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