CHYVONNE ELIZABETH ROACH

CONYERS, GA
NPI1558052217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT008428)
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
Mrs. CHYVONNE ELIZABETH ROACH OTR/L
1504 RENAISSANCE DR NE
CONYERS, GA 30012-3895
Phone number: 470-467-1100
Mailing Address
Mrs. CHYVONNE ELIZABETH ROACH OTR/L
565 CLEARBROOK DR
COVINGTON, GA 30016-9133
Phone number: 917-754-0010
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