Individual
LESLIE BROOKE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
117 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 371-9910
(502) 515-3325
Mailing address
115 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 371-9910
(502) 515-3325
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
131957
KY
225XP0200X
Pediatric Occupational Therapist
OT 13304
FL
Other
Enumeration date
11/10/2008
Last updated
09/06/2016
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