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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BROCK JUSTIN DODSWORTH, PTA

Active

MR. BROCK JUSTIN DODSWORTH, PTA is a Occupational Therapist healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1265678197 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FORT LEONARD WOOD, MO

Registration Details

NPI Number
1265678197
Provider Type
Individual
Gender
Male
NPI Issued
Dec 24, 2008 (17.599072062191 yrs)
Last Updated
Feb 13, 2019
License
2007031481 (MO)

Practice Information

Address
4430 MISSOURI AVE
FORT LEONARD WOOD, MO, 654739098
Browse MO providers · Browse ZIP 65473
Phone
5735961707
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FORT LEONARD WOOD, MO

Name Credential NPI
JAMES CARY DACK 1164739371
JAMES CRABTREE 1740581578
TIMOTHY RAY LEONARD 1881998524
KENNETH. L MCKEEL 1275831299
BRIAN THOMAS NELSON 1902104920
NICHOLAS DOBBS 1013215011
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.