Provider Demographics
NPI:1659472645
Name:HANCOCK, CHERYL A (DPT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 PINEY FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2859
Mailing Address - Country:US
Mailing Address - Phone:434-836-0808
Mailing Address - Fax:434-836-0505
Practice Address - Street 1:748 PINEY FOREST RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2859
Practice Address - Country:US
Practice Address - Phone:434-836-0808
Practice Address - Fax:434-836-0505
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1098500595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2305203865OtherSTATE LICENSE