Individual
AMANDA HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
230 EAST 38TH STREET, NEW YORK, NY 10016
(212) 263-0633
Mailing address
230 EAST 38TH STREET, NEW YORK, NY 10016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042535
NY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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