Individual provider · NPI-1

Dr. Amy Renslo Bock, DPT

Physical Therapist · Mission Viejo, CA

NPI number1205302163
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1205302163
Entity type
Individual (NPI-1)
Name
Dr. Amy Renslo Bock
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2018
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist295016CAYes
225100000X Physical TherapistPT295016CA

Other names

  • Amy Lynn Renslo (Former Name)

Practice location

27251 Brio Cir
Mission Viejo, CA 92692-5057

Phone 425-367-1756

Mailing address

27251 Brio Cir
Mission Viejo, CA 92692-5057

Phone 425-367-1756

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