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Individual

EVAN BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
119 PINE ST SUITE A, PINEVILLE, KY 40977
(606) 654-2276
Mailing address
PO BOX 1158, PINEVILLE, KY 40977

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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