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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL BENJAMIN ROTH, LAT, ATC

Active

SAMUEL BENJAMIN ROTH, LAT, ATC is a Environmental Modification (OT) healthcare provider located in SUGAR LAND, Texas. NPI 1497415731 is currently active in the NPPES registry. Verify at CMS.

Environmental Modification (OT) · SUGAR LAND, TX

Registration Details

NPI Number
1497415731
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2021 (4.6386278514647 yrs)
Last Updated
Aug 18, 2022
Licenses
1357064 (TX)
AT8549 (TX)
1357064 (TX)

Practice Information

Address
17520 W GRAND PKWY S STE 100
SUGAR LAND, TX, 774794759
Browse TX providers · Browse ZIP 77479
Phone
2817255895
Primary Specialty
Environmental Modification (OT)
2251S0007X
Additional Specialty
Athletic Trainer

Other Environmental Modification (OT) Providers in SUGAR LAND, TX

Name Credential NPI
MS. CATHERINE LOUISE ONDRUSEK PT, SCS, CSCS 1558580456
STEVEN HIGBIE 1871127001
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.