Individual
MRS. MEGAN RISER BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
200 NATURES TRL, MC DONALD, TN 37353-5172
(423) 339-2517
Mailing address
300 PENLEY DR, LOOKOUT MOUNTAIN, GA 30750-3131
(205) 541-2089
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4375
TN
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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