Individual
MISS JILL MARIE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
591 MEMORIAL DR, CHICOPEE, MA 01020-5024
(413) 331-1625
(413) 377-3178
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
17143
MA
Other
Enumeration date
10/11/2011
Last updated
12/12/2023
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