Provider Demographics
NPI:1437434537
Name:MCPHERSON, ROCHELLE (DPT, FAAOMPT)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:DPT, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EDGECOMB
Mailing Address - State:ME
Mailing Address - Zip Code:04556-3443
Mailing Address - Country:US
Mailing Address - Phone:724-454-9977
Mailing Address - Fax:
Practice Address - Street 1:71 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:ME
Practice Address - Zip Code:04553-3815
Practice Address - Country:US
Practice Address - Phone:724-454-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT5048225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty