Mrs Chyvonne Elizabeth Roach, OTR/L | |
1504 Renaissance Dr Ne, Conyers, GA 30012-3895 | |
(470) 467-1100 | |
Not Available |
Full Name | Mrs Chyvonne Elizabeth Roach |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1504 Renaissance Dr Ne, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558052217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT008428 (Georgia) | Primary |
Provider Name | Empowerme Rehabilitation Georgia, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952934374 PECOS PAC ID: 4284063835 Enrollment ID: O20200401003230 |
Mailing Address | Practice Location Address |
---|---|
Mrs Chyvonne Elizabeth Roach, OTR/L 565 Clearbrook Dr, Covington, GA 30016-9133 Ph: (917) 754-0010 | Mrs Chyvonne Elizabeth Roach, OTR/L 1504 Renaissance Dr Ne, Conyers, GA 30012-3895 Ph: (470) 467-1100 |
Mrs. Latricia Lashane Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1504 Renaissance Dr Ne, Conyers, GA 30012 Phone: 404-421-2570 | |
Courtney Mills, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1603 Highway 20 Ne, Suite 201, Conyers, GA 30012 Phone: 770-919-8411 Fax: 770-919-1419 | |
Progress Village Pediatric Therapy Services Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2949 Sonecrest Pt, Conyers, GA 30094 Phone: 404-932-3440 Fax: 770-483-3955 | |
Kendra Wade, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1564 Callaway Loop, Conyers, GA 30012 Phone: 404-438-2671 | |
Mr. John Terrence Lewis Ii, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Red Maple Ct Se, Conyers, GA 30013 Phone: 678-549-1487 | |
Charles Edward Berstecher, OTR/L, ATP, CAPS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2135 Teri Ln Se, Conyers, GA 30013 Phone: 404-921-8363 | |
Camille Mckenzie, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2395 Wall St Se Ste 290, Conyers, GA 30013 Phone: 470-725-2509 |