MRS. Diane A Brock, PTA
NPI #1023091279 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1023091279
- Entity Type
- Individual
- Name
- MRS. Diane A Brock, PTA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 22, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5214 S EAST ST
- Address 2
- HTS OUTPATIENT THERAPY SERVICES BLDG D STE 1
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46227-1917
- Phone
- (800) 486-4449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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