MADALYN BROCK

LOUISVILLE, KY
NPI1215394960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  R5885)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IN  31005674A)
Enumeration Date2016-01-26
Last Update Date2016-01-26
Business Address
Mrs. MADALYN BROCK OTR/L
3526 DUTCHMANS LN
LOUISVILLE, KY 40205-3256
Phone number: 502-452-6331
Mailing Address
Mrs. MADALYN BROCK OTR/L
3010 IRIS WAY
LOUISVILLE, KY 40220-1251
Phone number: 502-356-1888