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1356027973
LANDEN BROCK
TUCKER, GA
NPI
1356027973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PTO16664)
Enumeration Date
2023-06-27
Last Update Date
2023-06-27
Business Address
LANDEN BROCK PT, DPT
2138 DILLARD XING
TUCKER, GA 30084-5878
Phone number: 205-480-4466
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Mailing Address
LANDEN BROCK PT, DPT
2138 DILLARD XING
TUCKER, GA 30084-5878
Phone number: 205-480-4466
Copy
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