Individual
MRS. SIMONE ANJA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
705 TRES MARIAS, WESLACO, TX 78596-2161
(240) 405-4966
Mailing address
705 TRES MARIAS, WESLACO, TX 78596-2161
(240) 405-4966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215738
TX
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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