Individual
LYDIA MARIE HAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
400 SOPRIS AVE, CARBONDALE, CO 81623-2038
(970) 384-6000
Mailing address
1602 GREYSTONE DR, CARBONDALE, CO 81623-1889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
377986
CO
Other
Enumeration date
11/02/2023
Last updated
11/29/2023
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