Provider Demographics
NPI:1215100151
Name:ROCHA, MARGARIDA (LMT)
Entity type:Individual
Prefix:
First Name:MARGARIDA
Middle Name:
Last Name:ROCHA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 NE 67TH ST
Mailing Address - Street 2:APT 1232
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1276
Mailing Address - Country:US
Mailing Address - Phone:954-822-4528
Mailing Address - Fax:954-434-8104
Practice Address - Street 1:4691 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3817
Practice Address - Country:US
Practice Address - Phone:954-358-2790
Practice Address - Fax:954-434-8104
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA40324225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist