Individual
LORI ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23626 E MISSISSIPPI CIR, AURORA, CO 80018-6111
(720) 219-9496
Mailing address
23626 E MISSISSIPPI CIR, AURORA, CO 80018-6111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-16269
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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