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Maryann Brock, PT

Physical Therapist in Zachary, LA. Individual provider (NPI-1).

NPI number1306176409
StatusActive
Last updated in NPPESJan 12, 2010

Details

NPI
1306176409
Entity type
Individual (NPI-1)
Name
Miss Maryann Brock
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 12, 2010
Last updated
Jan 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist07478LAYes

Practice location

2335 Church St
Suite G
Zachary, LA 70791-2700

Phone 225-654-8208 · Fax 225-654-4642

Mailing address

2335 Church St
Suite G
Zachary, LA 70791-2700

Phone 225-654-8208 · Fax 225-654-4642

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