Individual
SHIRA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20511 E TRINITY PL, BLUE SPRINGS, MO 64015-9501
(816) 622-2900
Mailing address
1482 NW 64TH TER, KANSAS CITY, MO 64118-2987
(913) 620-7778
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2018025531
MO
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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