Individual
NICOLE ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
14527 PICKET OAKS RD, CENTREVILLE, VA 20121-2358
(703) 222-2421
(703) 222-2421
Mailing address
12908 TURKEY BRANCH PKWY, ROCKVILLE, MD 20853-3341
(301) 933-2099
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305006282
VA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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