Adam Roth, CO - Fort Wayne, IN

Adam Roth, CO

Prosthetic/Orthotic Supplier in Fort Wayne, Indiana

NPI 1184156093

Adam Roth is a Prosthetic/Orthotic Supplier based in Butler, IN. Adam Roth practices in Fort Wayne, IN and has the professional credentials of CO. The NPI Number for Adam Roth is 1184156093 and holds a License No. (Indiana).

The current practice location address for Adam Roth is 4109 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-8886 and via fax at 260-432-1137. You can also correspond with Adam Roth through the mailing address at 408 E WASHINGTON ST, BUTLER, IN - 46721-1179 (mailing address contact number: ).

Location: 4109 W Jefferson Blvd, Fort Wayne, IN, 46721-1179

NPI Number

1184156093

Provider Name

Adam Roth

Credential

Provider Entity Type

Individual

Gender

Male

Address

4109 W Jefferson Blvd, Fort Wayne, IN, 46721-1179

Phone Number

260-432-8886

Fax Number

260-432-1137

Provider Enumeration Date

03/30/2017

Last Update Date

03/09/2024

Address

4109 W Jefferson Blvd

City

Fort Wayne

State

Indiana

Zip

46804-6894

Phone Number

260-432-8886

Fax Number

260-432-1137

Address

408 E Washington St

City

Butler

State

Indiana

Zip

46721-1179

Phone Number

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

()

Definition

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.

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