ETHAN ROCHA

CHICAGO, IL
NPI1942990064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.027378)
Enumeration Date2023-05-11
Last Update Date2023-05-11
Business Address
ETHAN ROCHA
712 W. GRAND AVENUE
CHICAGO, IL 60654
Phone number: 872-304-1600
Mailing Address
ETHAN ROCHA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: