Provider Demographics
NPI:1265218382
Name:HANKINS, GRACE ANN (PT)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ANN
Last Name:HANKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4220
Mailing Address - Street 2:
Mailing Address - City:SARGENT
Mailing Address - State:TX
Mailing Address - Zip Code:77404-4220
Mailing Address - Country:US
Mailing Address - Phone:713-254-5589
Mailing Address - Fax:
Practice Address - Street 1:301 DANCE DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:TX
Practice Address - Zip Code:77486-4015
Practice Address - Country:US
Practice Address - Phone:979-345-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1041499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist