Individual
ANN THAYER HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
41 O'CONNOR RD, FAIRPORT, NY 14450
(585) 377-4660
Mailing address
41 O'CONNOR RD, FAIRPORT, NY 14450
(585) 377-4660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003270-1
NY
Other
Enumeration date
09/09/2011
Last updated
09/22/2011
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