Individual
ALISON BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3118 LENOX PARK CIR NE, BROOKHAVEN, GA 30319-5358
(757) 288-0335
Mailing address
3118 LENOX PARK CIR NE, BROOKHAVEN, GA 30319-5358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209287
VA
225100000X
Physical Therapist
Primary
PT011849
GA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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