Individual
JONATHAN JACOB BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17233 N HOLMES BLVD, STE 1650, PHOENIX, AZ 85053-2018
(602) 467-8612
(602) 467-8677
Mailing address
17233 N HOLMES BLVD, STE 1650, PHOENIX, AZ 85053-2018
(602) 467-8612
(602) 467-8677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
722068
—
AZ
Enumeration date
08/25/2006
Last updated
07/08/2007
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