KRISTIE LYN BROCK PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1033762240- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1750 MCGILCHRIST ST SE STE 130, SALEM, OR, 973021691
- Phone
- (971) 304-2200
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: MI #5502001181