Individual
MR. ROBERT ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1411 3RD ST STE C, PORT HURON, MI 48060-5480
(800) 451-0481
Mailing address
2018 ELMWOOD ST, PORT HURON, MI 48060-2752
(810) 841-0443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004361
MI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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