MARTY JACOB BROCK

HATTIESBURG, MS
NPI1437793163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT6673)
Enumeration Date2019-11-06
Last Update Date2023-01-04
Business Address
MARTY JACOB BROCK DPT
7 RIVERS DR STE 10&20
HATTIESBURG, MS 39401-1323
Phone number: 601-909-5006
Mailing Address
MARTY JACOB BROCK DPT
8 DEER RDG
PETAL, MS 39465-8713
Phone number: 601-543-9018