Individual
PETER J. HAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
3955 SWENSON ST APT 381, LAS VEGAS, NV 89119-7261
(702) 369-4450
Mailing address
1500 MEMOLI LN APT B3, FORT MYERS, FL 33919-6339
(702) 259-9601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT A-0429
NV
225200000X
Physical Therapy Assistant
PT A-17349
FL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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