Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONYA RENEE BROCK, BSW, DS
Active Sole ProprietorTONYA RENEE BROCK, BSW, DS is a Early Intervention Provider Agency healthcare provider located in SUPPLY, North Carolina. NPI 1295005635 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · SUPPLY, NC
Registration Details
- NPI Number
- 1295005635
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2012 (14.641676005821 yrs)
- Last Updated
- Jul 9, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
816 SHIPLEY WAY SWSUPPLY, NC, 284626089Browse NC providers · Browse ZIP 28462
- Phone
- 3045902459
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
- Additional Specialty
- Developmental Therapist
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.