Ethan Mccoy Brock
NPI #1568940948 in Warsaw, North Carolina
Provider Information
- NPI Number
- 1568940948
- Entity Type
- Individual
- Name
- Ethan Mccoy Brock
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Jul 30, 2018
Practice Location
- Address
- 214 LANEFIELD RD
- City
- Warsaw
- State
- North Carolina
- ZIP Code
- 28398-8719
- Phone
- (910) 293-3144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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