NPI 1558834010

Robert Roche, PTA

Practitioner Physical Therapy Assistant Port Huron, MI

Practice location

Address: 1411 3rd St STE C, Port Huron, MI 48060-5480
Phone: (800) 451-0481
Mailing address: 2018 Elmwood St, Port Huron, MI 48060-2752

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502004361 (MI)

Other Physical Therapy Assistant providers in Michigan →

Registry record

NPI: 1558834010
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2019
Record last updated: 8 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.