Individual
MRS. GAIL C BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 AIRPORT RD, GREENVILLE, SC 29607-2607
(864) 616-9918
Mailing address
PO BOX 4197, GREENVILLE, SC 29608-4197
(864) 616-9918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3343
SC
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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