Diane A Brock in Indianapolis - Physical Therapy Assistant
Diane A Brock - NPI 1023091279
Diane A Brock is a Physical Therapy Assistant in Indianapolis, Indiana. Diane A Brock practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Diane A Brock is 1023091279. The last update date is 2007-07-08.
Diane A Brock's current location address is 5214 S East St, Indianapolis, Indiana. You can contact this provider via phone number 8004864449 and fax number 3177803745. The mailing address for Diane A Brock is 5214 S East St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane A Brock |
|---|---|
| Address | 5214 S East St, Indianapolis, Indiana |
| Phone Number | 8004864449 |
| Fax Number | 3177803745 |
| Sole Proprietor | X |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1023091279 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5214 S East St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462271917 |
| Phone Number | 8004864449 |
| Fax Number | 3177803745 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTAA01579 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Diane A Brock by the Centers for Medicare & Medicaid Services?
The Diane A Brock has been assigned the NPI (National Provider Identifier) 1023091279 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Diane A Brock located?
The Diane A Brock is located at 5214 S East St, Indianapolis, IN 462271917.
What is Diane A Brock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane A Brock's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023091279 to Diane A Brock?
The Diane A Brock received its 1023091279 assignment from the Centers for Medicare & Medicaid Services on 2005-11-22.
When was the Diane A Brock's information last updated?
The Diane A Brock's information was last updated on 2007-07-08.
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