ADAM ROTH CO NPI 1184156093

NPI Information

Adam Roth, CO is a prosthetic orthotic supplier in Fort Wayne, IN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Adam Roth, CO NPI is 1184156093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4109 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804-894
Phone: (260) 432-8886
Fax: (260) 432-1137

The enumeration date for this NPI number is 3/30/2017 and was last updated on 3/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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