Individual
ETHAN G ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 Y BLVD, ROCKFORD, IL 61107-3019
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.027378
IL
Other
Enumeration date
05/11/2023
Last updated
10/07/2025
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