DIANE A BROCK

INDIANAPOLIS, IN
NPI1023091279
Former NameDIANE ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  PTAA01579)
Enumeration Date2005-11-22
Last Update Date2007-07-08
Business Address
Mrs. DIANE A BROCK PTA
5214 S EAST ST HTS OUTPATIENT THERAPY SERVICES BLDG D STE 1
INDIANAPOLIS, IN 46227-1917
Phone number: 800-486-4449
Mailing Address
Mrs. DIANE A BROCK PTA
5214 S EAST ST BLDG D STE 1
INDIANAPOLIS, IN 46227-1917
Phone number: 800-486-4449
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