Individual
KRISTINE M HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. T.
Contact information
Practice address
574 E MAIN ST, C/O WORRELL THERAPY SERVICES, INDEPENDENCE, VA 24348-3879
(276) 773-8118
(276) 773-2219
Mailing address
12881 ELMFORD LN, BOCA RATON, FL 33428-4720
(561) 929-8175
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305831299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562209989
TAX ID
VA
Enumeration date
08/15/2006
Last updated
06/16/2014
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