Individual
CYNTHIA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9001 S 101ST EAST AVE, TULSA, OK 74133-5708
(918) 294-4060
Mailing address
5918 E 86TH ST, TULSA, OK 74137-3025
(918) 557-5204
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4303
OK
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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