JAMIE BROCK

LOUISVILLE, KY
NPI1700297017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OH  05729)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: KY  A5875)
Enumeration Date2014-05-08
Last Update Date2014-05-08
Business Address
Mrs. JAMIE BROCK
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
Mailing Address
Mrs. JAMIE BROCK
59 FLEMING DR
INDEPENDENCE, KY 41051-8515
Phone number: 859-414-5415