Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN MCCOY BROCK
ActiveOccupational Therapist · WARSAW, NC
Registration Details
- NPI Number
- 1568940948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2018 (7.7473398230143 yrs)
- Last Updated
- Jul 30, 2018
- License
-
6671 (NC)
Practice Information
- Address
-
214 LANEFIELD RDWARSAW, NC, 283988719Browse NC providers · Browse ZIP 28398
- Phone
- 9102933144
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in WARSAW, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. JESSICA LANIER GILLEN | PTA | 1659895985 |
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.