Individual
HAZEN PLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1830 BICKFORD AVE, SUITE 209, SNOHOMISH, WA 98290-1749
(360) 568-7774
(360) 568-7779
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60297952
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302299
L & I
WA
01
—
0302307
L & I
WA
01
—
0302347
L & I
WA
01
—
0302366
L & I
WA
Enumeration date
11/02/2012
Last updated
03/04/2013
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