Organization
CYNTHIA J. ROCHE, RPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA J. ROCHE RPT (ADMINISTRATOR)
(478) 552-7878
Entity
Organization
Contact information
Practice address
618 FERNCREST DR, SANDERSVILLE, GA 31082-1863
(478) 552-7878
Mailing address
618 FERNCREST DR, P.O. BOX 5880, SANDERSVILLE, GA 31082-1863
(478) 552-7878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000746303A
—
GA
05
—
000766303B
—
GA
Enumeration date
02/20/2007
Last updated
10/15/2015
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