Individual
MR. BRIAN MARK ROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
4726 W MERCER LN, GLENDALE, AZ 85304-4332
(623) 340-0716
Mailing address
4726 W MERCER LN, GLENDALE, AZ 85304-4332
(623) 340-0716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0865
AZ
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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