Individual
DEBRA ANN BLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 LOGGINS TRL, POOLVILLE, TX 76487-5623
(817) 368-3327
Mailing address
1151 LOGGINS TRL, POOLVILLE, TX 76487-5623
(817) 368-3327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1083046
TX
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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