Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHONGPHAN ROACH
ActivePHONGPHAN ROACH is a Physical Rehabilitation Occupational Therapist healthcare provider located in HERNDON, Virginia. NPI 1326558925 is currently active in the NPPES registry. Verify at CMS.
Physical Rehabilitation Occupational Therapist · HERNDON, VA
Registration Details
- NPI Number
- 1326558925
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2017 (8.8913942852756 yrs)
- Last Updated
- Oct 9, 2017
- License
-
0131001567 (VA)
Practice Information
- Address
-
2980 CENTREVILLE RDHERNDON, VA, 201716254Browse VA providers · Browse ZIP 20171
- Phone
- 7039944561
- Primary Specialty
-
Physical Rehabilitation Occupational Therapist
225XP0019X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.