Doctor Name: | MATTHEW BOCOCK |
NPI Number: | 1316359888 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 21101 |
Business Practice Address: | 60 Quaker Hwy Outpatient Services Uxbridge, MA - 015691628 |
Business Phone Number: | 5082787810 |
Business Fax Number: | 5082787855 |
Mailing Address: | 60 Quaker Hwy, Outpatient Services UXBRIDGE |
State: | MA |
Postal Code: | 015691628 |
Phone Number: | 5082787810 |
Fax Number: | 5082787855 |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 21101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |