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1316001134
KELLY KOGA BROCK
SAN JOSE, CA
NPI
1316001134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 11836)
Enumeration Date
2006-12-20
Last Update Date
2021-12-30
Business Address
-- KELLY KOGA BROCK P.T.
270 INTERNATIONAL CIR # TWON PHYSICAL THERAPY
SAN JOSE, CA 95119-1130
Phone number: 408-972-6400
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Mailing Address
-- KELLY KOGA BROCK P.T.
270 INTERNATIONAL CIR # 2 PHYSICAL THERAPY DEPARTMENT
SAN JOSE, CA 95119-1130
Phone number: 408-972-6400
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