NPI 1023607405
Colleen Bock, PTA
Practice location
- Address
- 7421 Mexico Rd STE 102, Saint Peters, MO 63376-1369
- Phone
- (636) 757-6543
- Fax
- (636) 695-4337
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1023607405
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jan 2021
- Record last updated
- 11 Jan 2021
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.