Individual
DR. KIMBERLY A ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1316 EAST KENTUCKY AVE, RUSTON, LA 71270
(318) 224-9081
(318) 224-9083
Mailing address
683 ROACH RD, CHOUDRANT, LA 71227-3630
(318) 224-9081
(318) 224-9083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07573
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1884600
—
LA
Enumeration date
06/09/2009
Last updated
02/07/2024
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