Individual
JODIE BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555-0001
(330) 941-1927
Mailing address
PO BOX 14255, POLAND, OH 44514-7255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04441
OH
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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