Individual
TERESSA MARY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2311 ELK DR, MINOT, ND 58701-5633
(701) 720-6354
(701) 839-4076
Mailing address
1720 SUNDOWN DR, MINOT, ND 58701-8134
(701) 720-6354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
906
ND
Other
Enumeration date
05/17/2007
Last updated
01/11/2022
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