Individual
HALLIE A HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-7000
Mailing address
2200 S FOOTHILL DR APT G202, SALT LAKE CITY, UT 84109-3933
(715) 214-3003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
12896616-2401
UT
225100000X
Physical Therapist
Primary
12896616-2401
UT
Other
Enumeration date
08/21/2023
Last updated
03/04/2024
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