Individual provider · Type 1 NPI

Denise M. Brock, PTA

Specialist · Peoria, AZ

NPI number 1699184606 Active

Practice location

18969 N 83rd Ave, Suite 200
Peoria, AZ 85382-2844

Mailing address

300 White Oak Dr
Elyria, OH 44035-4136

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X10565A (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1699184606

Denise M. Brock, PTA's National Provider Identifier is 1699184606, issued on Aug 5, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, AZ. The record was last updated on Nov 23, 2014.