Provider Demographics
NPI:1841447463
Name:BROCK, CATHERINE WESSON (OTR/L)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WESSON
Last Name:BROCK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LEIGH
Other - Last Name:WESSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 746450
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6450
Mailing Address - Country:US
Mailing Address - Phone:866-401-3057
Mailing Address - Fax:318-868-6430
Practice Address - Street 1:5721 USA DRIVE NORTH, HAHN 2050
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688-0002
Practice Address - Country:US
Practice Address - Phone:251-445-9378
Practice Address - Fax:251-445-9377
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0615225X00000X
FLOT19519225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist