Individual
EMILY BROCK
Active
Individual
EMILY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12592
SC
225100000X
Physical Therapist
CP049712T
CO
225100000X
Physical Therapist
Primary
PT016110
GA
225100000X
Physical Therapist
PTL88911
MA
Other
Enumeration date
09/20/2022
Last updated
08/17/2026
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