Brock, Mara Elizabeth
Brock, Mara Elizabeth is an individual health care provider with primary practice located at 362 Catalpa Ave , Harrogate TN 37752-8149. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Brock, Mara Elizabeth can be contacted via phone (423) 869-9923.Contact Information
Primary practice address
362 Catalpa Ave
Harrogate TN 37752-8149
Phone: (423) 869-9923
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2088 | Tennessee |
Profile Details
| NPI number | 1407379308 |
|---|---|
| LBN Legal business name | Brock, Mara Elizabeth |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2017 |
| Last updated | Jul 23rd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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