Individual
BROCK ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 MCFARLAND BLVD, NORTHPORT, AL 35476-3348
(205) 344-9161
(205) 344-9256
Mailing address
42465 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11979
AL
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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