Lora D Mock, PT

NPI #1245544352 in Champaign, Illinois

Provider Information

NPI Number: 1245544352
Entity Type: Individual
Name: Lora D Mock, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 30, 2010
Last Updated: Jul 30, 2010

Practice Location

Address: 910 BIRKDALE DR
City: Champaign
State: Illinois
ZIP Code: 61822-8114
Phone: (217) 352-6536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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