Individual
JOSHUA MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2781 AIRWAYS BLVD, MEMPHIS, TN 38132-1104
(901) 291-1100
Mailing address
8416 CREEK FRONT DR, CORDOVA, TN 38016-1521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005814
TN
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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