Individual
CODY ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
709 BUSINESS WAY STE 120, WYLIE, TX 75098-3961
(972) 559-4437
(214) 377-4244
Mailing address
PO BOX 1001, WYLIE, TX 75098-1001
(972) 559-4437
(214) 377-4244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124614
TX
Other
Enumeration date
05/28/2024
Last updated
06/17/2024
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