Individual
ADDISON RYAN ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3642
Mailing address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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