LANDEN BROCK

TUCKER, GA
NPI1356027973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PTO16664)
Enumeration Date2023-06-27
Last Update Date2023-06-27
Business Address
LANDEN BROCK PT, DPT
2138 DILLARD XING
TUCKER, GA 30084-5878
Phone number: 205-480-4466
Mailing Address
LANDEN BROCK PT, DPT
2138 DILLARD XING
TUCKER, GA 30084-5878
Phone number: 205-480-4466