Individual
MRS. KATHERINE A HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5757 WHITEFORD RD, SYLVANIA, OH 43560-1632
(419) 882-1875
Mailing address
401 W BROADWAY ST, MAUMEE, OH 43537-2003
(419) 344-6911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA005533
OH
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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