Individual
GRACE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9815 MAIN ST STE 206, DAMASCUS, MD 20872-2099
(240) 802-0866
Mailing address
9815 MAIN ST STE 206, DAMASCUS, MD 20872-2099
(240) 802-0866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
219270
MD
Other
Enumeration date
01/21/2025
Last updated
01/08/2026
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