Dereni Brock, PT

NPI 1114358702 · on the registry since 2013 · sole proprietor

Practice

Address: 195 Commercial Dr
Ste 100
London, KY 40744
Phone: (606) 657-2354
Fax: (606) 657-2354
Organisation at this address: Bluegrass Orthopaedics Psc
Revolution Physical Therapy
Kentucky Family Practice Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky