Deedra Hazleton P.T.

NPI 1073533667 - Physical Therapist - 225100000X

NPI Details
NPI 1073533667
Gender Female
Enumeration Date 07/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
41945 BIG BEAR BLVD
209
BIG BEAR LAKE CA, 92315, US
Phone (909) 866-6200
Fax (909) 866-6111
Business Location
391 MONTCLAIR DR
SP87
BIG BEAR CITY CA, 92314-9728, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 11085
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According to our database, Deedra Hazleton P.T. NPI is 1073533667, taxonomy code is 225100000X and license number is 11085, license state is located at California. Deedra Hazleton P.T. physically located at 41945 Big Bear Blvd, Big Bear Lake CA, 92315. NPI Number Deedra Hazleton P.T. has the Individual type.

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1073533667 NPI number is provided on an as is basis without warranty of any kind. 1073533667 is maintained by the National Plan & Provider Enumeration System. The contents of Deedra Hazleton P.T. are for informational purposes only.