Individual
BROCK DEGIORGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
501 THOMAS JONES WAY, EXTON, PA 19341-2531
(484) 873-3700
Mailing address
107 VALLEY VIEW DR, COATESVILLE, PA 19320-1989
(484) 798-9920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012949
PA
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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