Individual
TASHA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 WOOD ST, POWELL, WY 82435-1727
(435) 659-1122
Mailing address
543 WOOD ST, POWELL, WY 82435-1727
(435) 659-1122
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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