Roche, Mary

Roche, Mary is an individual health care provider with primary practice located at 4800 Mexico Rd Ste104, Saint Peters MO 63376-1666. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Roche, Mary can be contacted via phone (636) 939-9540.

Contact Information

Primary practice address
4800 Mexico Rd Ste104 Saint Peters MO 63376-1666
Phone: (636) 939-9540
Fax: (636) 939-9886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 104831 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X 1041100253 Missouri

Profile Details

NPI number 1740399476
LBN Legal business name Roche, Mary
Credentials PT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740399476 NPPES
Missouri Other P00602661 RAILROAD MEDICARE

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