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NPI Code Detail

MEDICARE: DR. DEBORAH D BROCK DPT

MEDICARE:  DR. DEBORAH D BROCK  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist15726NC

General Provider Information

NPI Number : 1225407356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH D BROCK DPT
Provider Business Mailing Address
First Line : 235 JIM BERRY RD
Second Line :
City : FRANKLIN
State : NC
Zip : 28734-8660
Country : US
Telephone Number : 828-369-7878
Fax Number : 828-369-8760
Provider Business Practice Location Address
First Line : 235 JIM BERRY RD
Second Line :
City : FRANKLIN
State : NC
Zip : 28734-8660
Country : US
Telephone Number : 828-369-7878
Fax Number : 828-369-8760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 09/18/2015

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Directions to “ DR. DEBORAH D BROCK DPT” Practice Location

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