Ethan McCoy Brock
Ethan McCoy Brock is a Physical Therapy Assistant in Warsaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.
- Licensed in
- NC
- In the registry since
- 2018
Practice location Address checks out
214 Lanefield RdWarsaw, NC 28398-8719
Phone: (910) 293-3144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 6671 (NC) |
|---|
Record details
| NPI number | 1568940948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 30, 2018 |
| Last updated in NPPES | July 30, 2018 |
| Mailing address | 113 Maysville School Rd, Mount Olive, NC 28365-6541 |
Other providers in Warsaw
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Mrs. Jessica Lanier Gillen, PTA
214 Lane Field Rd, Warsaw, NC 28398 · (910) 293-3144