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Ms. Denise M Brock, PTA
Specialist in Peoria, Arizona
NPI 1699184606

Denise M Brock is a Specialist based in Elyria, AZ. Denise M Brock practices in Peoria, AZ and has the professional credentials of PTA. The NPI Number for Denise M Brock is 1699184606 and holds a License No. 10565A (Arizona).

The current practice location address for Denise M Brock is 18969 N 83Rd Ave, Peoria, AZ and can be reached out via phone at 888-266-2686. You can also correspond with Denise M Brock through the mailing address at 300 WHITE OAK DR, ELYRIA, OH - 44035-4136 (mailing address contact number: 440-366-8314).

Location: 18969 N 83Rd Ave, Peoria, AZ, 44035-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699184606
Provider Name
Denise M Brock
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
18969 N 83Rd Ave, Peoria, AZ, 44035-4136
Phone Number
888-266-2686
Fax Number
Provider Enumeration Date
08/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18969 N 83Rd Ave
City
Peoria
State
Arizona
Zip
85382-2844
Phone Number
888-266-2686
Fax Number
person
Provider Business Mailing Address Details
Address
18969 N 83Rd Ave
City
Peoria
State
Arizona
Zip
85382-2844
Phone Number
888-266-2686
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
10565A (Arizona)
Definition
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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