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Individual

KIMBERLY HANCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
400 BROADWAY ST NW, HARTSELLE, AL 35640-2208
(256) 355-6911
Mailing address
400 BROADWAY ST NW, HARTSELLE, AL 35640-2208

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
616
AL

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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