Individual provider · Type 1 NPI

Chyvonne Elizabeth Roach, OTR/L

Occupational Therapist · Conyers, GA

NPI number 1558052217 Active

Practice location

1504 Renaissance Dr NE
Conyers, GA 30012-3895

Call (470) 467-1100 Map

Mailing address

565 Clearbrook Dr
Covington, GA 30016-9133

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT008428 (GA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1558052217

Chyvonne Elizabeth Roach, OTR/L's National Provider Identifier is 1558052217, issued on May 15, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Conyers, GA. The record was last updated on May 15, 2023.