| Doctor Name: | CYNTHIA J. ROCHE |
| NPI Number: | 1770952574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.P.T. |
| License Number: | PT001635 |
| Business Practice Address: | 618 Ferncrest Drive Sandersville, GA - 31082 |
| Business Phone Number: | 4785527878 |
| Business Fax Number: | 4785521020 |
| Mailing Address: | Po Box 152, LOUISVILLE |
| State: | GA |
| Postal Code: | 304340152 |
| Phone Number: | 4785527878 |
| Fax Number: | 4785521020 |
| NPI Enumeration Date: | 09/22/2015 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT001635 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |