Individual provider · Type 1 NPI
Ethan McCoy Brock
Physical Therapy Assistant · Warsaw, NC
Practice location
214 Lanefield Rd
Warsaw, NC 28398-8719
Mailing address
113 Maysville School Rd
Mount Olive, NC 28365-6541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 6671 (NC) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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- Sovran Senior Living LLCAssisted Living Facility Warsaw, NC NPI 1205195492
- Warsaw Opco LLCSkilled Nursing Facility Warsaw, NC NPI 1053104026
- Kendra Rae Chapman, COTAOccupational Therapy Assistant Warsaw, NC NPI 1255825998
- Mary Elizabeth EllisSpeech-Language Pathologist Warsaw, NC NPI 1467947044
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About NPI 1568940948
Ethan McCoy Brock's National Provider Identifier is 1568940948, issued on Jul 30, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Warsaw, NC. The record was last updated on Jul 30, 2018.