Individual
IAN HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
252 NORTH MAIN STREET, EASTERN REHABILITATION NETWORK 5TH FLOOR, MANCHESTER, CT 06040
(860) 643-3562
(860) 643-3565
Mailing address
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR, NEWINGTON, CT 06111
(860) 667-5449
(860) 667-8416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006992
CT
2255A2300X
Athletic Trainer
Primary
000302
CT
Other
Enumeration date
01/26/2006
Last updated
09/11/2025
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