Most Relevant Information
Provider Data
| NPI Number: | 1003062191 |
| Provider Name: | CHRISTINE ROCHE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A2997 |
Most Important Dates
| Enumeration Date: | 08/08/2008 |
| Last Updated: | 10/24/2022 |
Provider Practice Location
707 N BROADWAY
BALTIMORE
MD
212051888
Practice Location Phone/Fax
| Phone: | 4439239289 |
| Fax: | 4439239295 |
Provider Mailing Location
707 N BROADWAY
BALTIMORE
MD
212051888
Provider Mailing Phone/Fax
| Phone: | 4439239289 |
| Fax: | 4439239295 |