MAYRA ROQUE
NPI 1154576726
Rehabilitation Practitioner in Northridge, CA

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since November 24, 2008

9650 ZELZAH AVE, NORTHRIDGE, CA 91325(818) 993-9311 Get Directions Write a Review

NPPES record last updated: November 24, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mayra Roque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA ROQUE (NPI 1154576726) is an individual rehabilitation practitioner in Northridge, California and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1154576726

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameMAYRA ROQUE

Location Address9650 ZELZAH AVENorthridge, CA 91325-2003

Mailing Address9650 Zelzah AveNorthridge, CA 91325-2003 · (818) 993-9311

Phone(818) 993-9311

Sole ProprietorYes

Enumeration DateNovember 24, 2008

✔ NPI 1154576726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

9650 ZELZAH AVE, Northridge, CA 91325

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KARIN M CLEARY PH.D.

Psychologist (Clinical)