Individual
HANNAH RENEE' BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 LEXINGTON RD, RICHMOND, KY 40475-7924
(859) 333-8147
Mailing address
105 MASTERS CT, RICHMOND, KY 40475-8129
(606) 307-4790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
161577
KY
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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