Individual
IRYNA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 JULIA ST. APT 3, NEW ORLEANS, LA 70130
(504) 442-1370
Mailing address
330 JULIA ST APT 3, NEW ORLEANS, LA 70130-3661
(504) 442-1370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8271R
LA
225200000X
Physical Therapy Assistant
PTA23633
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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