Brock, Tonya Renee

Brock, Tonya Renee is an sole proprietor health care provider with primary practice located at 816 Shipley Way Sw , Supply NC 28462-6089. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Agencies / Early Intervention Provider Agency is her primary health care specialty. Brock, Tonya Renee can be contacted via phone (304) 590-2459.

Contact Information

Primary practice address
816 Shipley Way Sw Supply NC 28462-6089
Phone: (304) 590-2459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1295005635
LBN Legal business name Brock, Tonya Renee
Credentials BSW, DS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2012
Last updated Jul 9th, 2024 - about 5 months 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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