Individual
PATRICK HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 N 11TH ST, FORT DODGE, IA 50501-7512
(860) 949-5401
Mailing address
1414 N 11TH ST, FORT DODGE, IA 50501-7512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003677
CT
225X00000X
Occupational Therapist
Primary
01363
IA
225X00000X
Occupational Therapist
016251-1
NY
225X00000X
Occupational Therapist
4883
CA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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