Provider Demographics
NPI:1780857482
Name:VESPIE, ROCHELLE MARIE (PTA)
Entity type:Individual
Prefix:MRS
First Name:ROCHELLE
Middle Name:MARIE
Last Name:VESPIE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:ROCHELLE
Other - Middle Name:MARIE
Other - Last Name:BARRETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:17900 23 MILE RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1161
Mailing Address - Country:US
Mailing Address - Phone:586-868-9040
Mailing Address - Fax:586-868-9013
Practice Address - Street 1:17900 23 MILE RD
Practice Address - Street 2:SUITE 401
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-1161
Practice Address - Country:US
Practice Address - Phone:586-868-9040
Practice Address - Fax:586-868-9013
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502001911225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant