KELLY LYNN ROACH

RAPID CITY, SD
NPI1689862658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SD  0224)
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
Mrs. KELLY LYNN ROACH PTA
3335 PALM DR APT 1
RAPID CITY, SD 57701-2069
Phone number: 605-390-8545
Mailing Address
Mrs. KELLY LYNN ROACH PTA
3335 PALM DR APT 1
RAPID CITY, SD 57701-2069
Phone number: 605-390-8545
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