Individual
LILY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7300 WASHINGTON AVE STE B, MOUNT PLEASANT, WI 53406-6525
(262) 321-6000
Mailing address
2352 N 85TH ST, WAUWATOSA, WI 53226-1910
(414) 477-5977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17336-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370018
—
WI
Enumeration date
07/24/2025
Last updated
10/21/2025
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