Individual
MS. DENISE M BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18969 N 83RD AVE, SUITE 200, PEORIA, AZ 85382-2844
(888) 266-2686
Mailing address
300 WHITE OAK DR, ELYRIA, OH 44035-4136
(440) 366-8314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10565A
AZ
Other
Enumeration date
08/05/2014
Last updated
11/23/2014
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