Individual
ERIC BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 LATHAM DR, WARNER ROBINS, GA 31088-2146
(440) 969-8623
Mailing address
120 LATHAM DR, WARNER ROBINS, GA 31088-2146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004372
GA
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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