Samuel Brock
Samuel Brock is a Physical Therapist in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
1101 E South River StAppleton, WI 54915-2223
Phone: (920) 997-2884
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 15650 (WI) |
|---|
Record details
| NPI number | 1588310221 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2022 |
| Last updated in NPPES | February 22, 2022 |
| Certification date | February 22, 2022 |
| Mailing address | 1101 E South River St, Appleton, WI 54915-2223 |
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