Individual
ETHAN DANIEL HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 PIT RD, BROWNSBURG, IN 46112-7830
(317) 456-1056
Mailing address
590 PIT RD, BROWNSBURG, IN 46112-7830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
05014434A
IN
Other
Enumeration date
11/21/2018
Last updated
06/28/2022
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