Individual
MRS. DIANE ROSE HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
302 COVE POINT TRAIL, MONETA, VA 24121
(540) 297-7130
Mailing address
302 COVE POINT TRL, MONETA, VA 24121-3700
(540) 297-7130
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000316
VA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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