Kayla Danielle Brock, PTA

NPI #1356804611 in Leesburg, Georgia

Provider Information

NPI Number: 1356804611
Entity Type: Individual
Name: Kayla Danielle Brock, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 12, 2019
Last Updated: Apr 12, 2019

Practice Location

Address: 166 OAKLAND PKWY
City: Leesburg
State: Georgia
ZIP Code: 31763-7200
Phone: (229) 495-6079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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