Elizabeth Danielle Brock Valid NPI

Individual provider · Occupational Therapy Assistant · Rudy, AR

NPI

1649722737

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

OTA1088 (AR)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-10-25

Last updated

2016-10-25