Tracey Hazen LPTA

NPI 1073863346 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1073863346
Gender Female
Enumeration Date 09/14/2012
Last Updated 09/14/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
220 SCOVILLE RD
AVON CT, 06001-2515, US
Phone (860) 677-2934
Fax
Business Location
220 SCOVILLE RD
AVON CT, 06001-2515, US
Phone (860) 677-2934
Fax
Toxanomy
Taxonomy Code 225200000X
License State Connecticut
License Number 1102
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According to our database, Ms. Tracey Hazen LPTA NPI is 1073863346, taxonomy code is 225200000X and license number is 1102, license state is located at Connecticut. Tracey Hazen LPTA physically located at 220 Scoville Rd, Avon CT, 06001-2515. NPI Number Tracey Hazen LPTA has the Individual type.

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1073863346 NPI number is provided on an as is basis without warranty of any kind. 1073863346 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Hazen LPTA are for informational purposes only.