Individual
MS. BRIDGETTE ANNETTE ROACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6214
Mailing address
11736 E 520 RD, CLAREMORE, OK 74019-5641
(918) 343-9695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2260
OK
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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