MR. Brock Justin Dodsworth, PTA

NPI #1265678197 in Fort Leonard Wood, Missouri

Provider Information

NPI Number: 1265678197
Entity Type: Individual
Name: MR. Brock Justin Dodsworth, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 24, 2008
Last Updated: Feb 13, 2019

Practice Location

Address: 4430 MISSOURI AVE
City: Fort Leonard Wood
State: Missouri
ZIP Code: 65473-9098
Phone: (573) 596-1707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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