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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CHYVONNE ELIZABETH ROACH, OTR/L

Active Sole Proprietor

MRS. CHYVONNE ELIZABETH ROACH, OTR/L is a Occupational Therapist healthcare provider located in CONYERS, Georgia. NPI 1558052217 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CONYERS, GA

Registration Details

NPI Number
1558052217
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2023 (3.2278643781295 yrs)
Last Updated
May 15, 2023
License
OT008428 (GA)
Sole Proprietor
Yes

Practice Information

Address
1504 RENAISSANCE DR NE
CONYERS, GA, 300123895
Browse GA providers · Browse ZIP 30012
Phone
4704671100
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in CONYERS, GA

Name Credential NPI
MR. RYAN MITCHELL OT 1952464380
COURTNEY MILLS OT 1053456277
KENDRA WADE OTR/L 1255809695
MR. JOHN TERRENCE LEWIS II OTR/L 1306473574
CHARLES EDWARD BERSTECHER OTR/L, ATP, CAPS 1326626276
MRS. LATRICIA LASHANE WILLIAMS OTR 1003684002
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.