Individual
COLLEEN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7421 MEXICO RD STE 102, SAINT PETERS, MO 63376-1369
(636) 757-6543
(636) 695-4337
Mailing address
7421 MEXICO RD STE 102, SAINT PETERS, MO 63376-1369
(636) 757-6543
(636) 695-4337
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115995
MO
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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