Individual
MRS. HEIDI ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3475 ERWIN RD, DURHAM, NC 27705-0005
(919) 684-0493
Mailing address
11217 N RADNER WAY, RALEIGH, NC 27613-5531
(860) 625-7492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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