Dr. Brock Allen Ford, PT,DPT
Physical Therapist in Greentown, IN. Individual provider (NPI-1).
NPI number1265190821
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1265190821
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brock Allen Ford
- Credential
- PT,DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 05013068A | IN | Yes |
Practice location
705 N Meridian StGreentown, IN 46936-1246
Phone 765-628-3377
Mailing address
2548 S 900 EGreentown, IN 46936-9204
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