Individual
EAN MICHAEL ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 20TH ST NW STE 116, WASHINGTON, DC 20036-3406
(240) 825-2561
Mailing address
1120 20TH ST NW STE 116, WASHINGTON, DC 20036-3406
(240) 825-2561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A5771
MD
225200000X
Physical Therapy Assistant
Primary
PTA2000040DC
DC
Other
Enumeration date
12/15/2022
Last updated
07/09/2025
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