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1306176409
MARYANN BROCK
ZACHARY, LA
NPI
1306176409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 07478)
Enumeration Date
2010-01-12
Last Update Date
2010-01-12
Business Address
Miss MARYANN BROCK PT
2335 CHURCH ST SUITE G
ZACHARY, LA 70791-2700
Phone number: 225-654-8208
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Mailing Address
Miss MARYANN BROCK PT
2335 CHURCH ST SUITE G
ZACHARY, LA 70791-2700
Phone number: 225-654-8208
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