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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740399476 | NPPES |
| Missouri | Other | P00602661 | RAILROAD MEDICARE |
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