Individual
MRS. MICHELLE LYNN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
20952 E 12 MILE RD STE 110, SAINT CLAIR SHORES, MI 48081-3202
(586) 498-3500
Mailing address
39831 SYLVIA ST, HARRISON TOWNSHIP, MI 48045-1541
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501005109
MI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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