Brock, Mary Gail
Brock, Mary Gail is an individual health care provider with primary practice located at 181 Patricia Genova Drive Eastern Rehabilitation Network 5Th Floor, Newington CT 06111. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brock, Mary Gail can be contacted via phone (860) 667-5449.Contact Information
Primary practice address
181 Patricia Genova Drive Eastern Rehabilitation Network 5Th Floor
Newington CT 06111
Phone: (860) 667-5449
Fax: (860) 667-8416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 001256 | Connecticut |
Profile Details
| NPI number | 1083684450 |
|---|---|
| LBN Legal business name | Brock, Mary Gail |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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