Mary Roche
Physical Therapist Hand
4800 Mexico Rd Ste104
Saint Peters
, Missouri 63376-1666
Mary Roche
Physical Therapist Hand
4800 Mexico Rd Ste104
Saint Peters
, Missouri 63376-1666
(636) 916-4628
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About
Features
Specialties
- Physical Therapist
- Hand
Languages spoken
- English
Location
First Address
- Mary Roche
- 2454 W Clay St
- Saint Charles, MO
- Zip : 63301-2548
- Fax : (636) 916-4628
- Phone : (636) 916-4625
Second Address
- Mary Roche
- 4800 Mexico Rd Ste104
- Saint Peters, MO
- Zip : 63376-1666
- Fax : (636) 939-9886
- Phone : (636) 939-9540
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 104831 | MO |
| N | 2251H1200X | Hand | 1041100253 | MO |
National Provider Identifier
| NPI | 1740399476 |
|---|---|
| Provider Name | Mary Roche |
| First Address | Saint Charles, MO 63301-2548 |
| Second Address | Saint Peters, MO 63376-1666 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 24/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00602661 | RAILROAD MEDICARE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.