Individual
DANIELLE ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8 BIG CONE LN, MEDFORD, NY 11763-4229
(516) 287-6533
Mailing address
64 E 8TH ST, PATCHOGUE, NY 11772-2347
(516) 287-6533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029260-1
NY
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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