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Alison Brock, PT

Physical Therapist in Brookhaven, GA. Individual provider (NPI-1).

NPI number1992198725
StatusActive
Last updated in NPPESMar 18, 2015

Details

NPI
1992198725
Entity type
Individual (NPI-1)
Name
Alison Brock
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 18, 2015
Last updated
Mar 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT011849GAYes
225100000X Physical Therapist2305209287VA

Practice location

3118 Lenox Park Cir Ne
Brookhaven, GA 30319-5358

Phone 757-288-0335

Mailing address

3118 Lenox Park Cir Ne
Brookhaven, GA 30319-5358

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