MALLORY LANIER ROSCHE

AUGUSTA, GA
NPI1235465618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  04998)
Enumeration Date2009-10-20
Last Update Date2021-10-29
Business Address
MALLORY LANIER ROSCHE MHS
1120 15TH ST
AUGUSTA, GA 30912-6246
Phone number: 706-721-8623
Mailing Address
MALLORY LANIER ROSCHE MHS
2315 CENTRAL AVE STE C
AUGUSTA, GA 30904-6246
Phone number: 706-364-6172