Individual
CONSTANCE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 MEADOW AVE, CHESTER, NY 10918-1211
(845) 551-2370
Mailing address
40 MEADOW AVE, CHESTER, NY 10918-1211
(845) 551-2370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000-222
NY
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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