Individual
MARY BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1615 W 4TH PL, HOBART, IN 46342-4964
(219) 682-5469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004453A
IN
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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