Individual
DR. CHARLES R HAZLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
202 KIDD DR, SUITE 3, BEREA, KY 40403-7000
(859) 228-0201
(859) 228-0206
Mailing address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 526-2900
(606) 526-2901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001909
KY
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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