Individual
ELIZABETH HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14669 W CATALINA DR, GOODYEAR, AZ 85395-8344
(520) 270-3743
Mailing address
14669 W CATALINA DR, GOODYEAR, AZ 85395-8344
(520) 270-3743
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TA09084000
NJ
224Z00000X
Occupational Therapy Assistant
Primary
5954
AZ
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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