Individual
JONATHAN ROCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
720A S DUNCAN BYP, UNION, SC 29379-7830
(864) 429-3003
Mailing address
720A S DUNCAN BYP, UNION, SC 29379-7830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2414
SC
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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