Individual
ROLAND B HANCOCK
Active
Individual
ROLAND B HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1156
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315046
BLUE CROSS BLUE SHIELD
WY
01
—
P00414747
PALMETTO GBA
WY
Enumeration date
06/21/2007
Last updated
04/27/2010
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