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Edmond Bock, COTA/L

NPI 1932221108 · on the registry since 2007

Practice

Address
190 Lake Dr
Atco, NJ 08004
Phone
(856) 210-6231

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-07

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 New Jersey