Individual
MRS. VANESSA LYNN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-9001
(843) 235-9393
Mailing address
605 LAUREL ST, CONWAY, SC 29526-4377
(843) 742-9611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2907
SC
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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