NPI 1023091279

Diane a Brock, PTA

Practitioner Physical Therapy Assistant Indianapolis, IN

Practice location

Address: 5214 S East St Hts Outpatient Therapy Services Bldg D STE 1, Indianapolis, IN 46227-1917
Phone: (800) 486-4449
Fax: (317) 780-3745
Mailing address: 5214 S East St Bldg D STE 1, Indianapolis, IN 46227-1917

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTAA01579 (KY)

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Registry record

NPI: 1023091279
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.