Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAYLA DANIELLE BROCK, PTA
Active Sole ProprietorKAYLA DANIELLE BROCK, PTA is a Occupational Therapist healthcare provider located in LEESBURG, Georgia. NPI 1356804611 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LEESBURG, GA
Registration Details
- NPI Number
- 1356804611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2019 (7.301797576775 yrs)
- Last Updated
- Apr 12, 2019
- License
-
PTA003390 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
166 OAKLAND PKWYLEESBURG, GA, 317637200Browse GA providers · Browse ZIP 31763
- Phone
- 2294956079
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LEESBURG, GA
| Name | Credential | NPI |
|---|---|---|
| LACEY ANTONIO | PTA | 1679233100 |
| KIMBERLY MINCHEW HAMILTON | — | 1689335721 |
| KEVIN BASS | — | 1326836735 |
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.