Kristie Lyn Brock, PTA

NPI #1033762240 in Salem, Oregon

Provider Information

NPI Number
1033762240
Entity Type
Individual
Name
Kristie Lyn Brock, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
PTA
Enumeration Date
Jul 17, 2019
Last Updated
Jul 17, 2019

Practice Location

Address
1750 MCGILCHRIST ST SE STE 130
City
Salem
State
Oregon
ZIP Code
97302-1691
Phone
(971) 304-2200

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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