| NPI | 1407031636 |
|---|---|
| Former Name | ANN MARIE ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4680) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 20373) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-02-22 |