Individual
COURTNEY MARIE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
919 109TH AVE NE, BELLEVUE, WA 98004-4485
(425) 233-8766
Mailing address
2134 WESTERN AVE UNIT 515, SEATTLE, WA 98121-4086
(765) 624-8361
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT60863092
WA
2251P0200X
Pediatric Physical Therapist
PT60863092
WA
2251X0800X
Orthopedic Physical Therapist
PT60863092
WA
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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