Individual
MR. KALEB ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
2800 LIVERNOIS RD, TROY, MI 48083-1215
(248) 615-2090
Mailing address
35545 CLINTON ST, WAYNE, MI 48184-2151
(419) 906-9933
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81326
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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