Individual
JOYCE HAZELTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 PARK ST, MONTROSE, PA 18801-6525
(570) 278-0113
Mailing address
100 RICE ST, TRUCKSVILLE, PA 18708-1628
(570) 954-1581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC-000257-L
PA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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