Individual
JERRY D LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
210 PELHAM RD APT 6H, NEW ROCHELLE, NY 10805-2501
(718) 406-7901
Mailing address
210 PELHAM RD APT 6H, NEW ROCHELLE, NY 10805-2501
(718) 406-7901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007256
NY
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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