Nicole Brock
NPI #1376974774 in Massapequa Park, New York
Provider Information
- NPI Number
- 1376974774
- Entity Type
- Individual
- Name
- Nicole Brock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 10, 2013
- Last Updated
- Dec 10, 2013
Practice Location
- Address
- 100 SAINT REGIS DR
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-3451
- Phone
- (516) 795-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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