Provider Demographics
NPI:1548424203
Name:HANKINS, BRANDI RENEE (BSW,DT)
Entity Type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:RENEE
Last Name:HANKINS
Suffix:
Gender:F
Credentials:BSW,DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 TELEPHONE RD
Mailing Address - Street 2:
Mailing Address - City:GALATIA
Mailing Address - State:IL
Mailing Address - Zip Code:62935-2386
Mailing Address - Country:US
Mailing Address - Phone:618-268-6814
Mailing Address - Fax:
Practice Address - Street 1:1510 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:GALATIA
Practice Address - State:IL
Practice Address - Zip Code:62935-2386
Practice Address - Country:US
Practice Address - Phone:618-268-6814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist