HEATHER LYNN ROACH

PHILADELPHIA, PA
NPI1477988780
Former NameHEATHER LYNN PRAH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: PA  MA056332)
Enumeration Date2013-09-05
Last Update Date2025-02-11
Business Address
HEATHER LYNN ROACH PA-C
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 215-707-2111
Mailing Address
HEATHER LYNN ROACH PA-C
3500 N BROAD ST # 1A
PHILADELPHIA, PA 19140-4106
Phone number: 215-707-2433