Individual
MS. JUDITH A HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
6839 S LAWNDALE AVE, INDIANAPOLIS, IN 46221-4731
(317) 374-7795
(317) 856-0258
Mailing address
6839 S LAWNDALE AVE, INDIANAPOLIS, IN 46221-4731
(317) 374-7795
(317) 856-0258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200650120
ELECTRONIC DATA SOLUTIONS
IN
Enumeration date
04/23/2008
Last updated
04/23/2008
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