Individual
KRISTEN LASSITER HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3726B BATTLEGROUND AVE, GREENSBORO, NC 27410-2344
(336) 265-6731
Mailing address
5505 BELMONT DR APT 202, WINSTON SALEM, NC 27106-6499
(985) 264-0957
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6123
NC
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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