Individual
LYNNETTE M HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1952 EAST 7000 SOUTH STE 100, SALT LAKE CITY, UT 84121
(801) 972-3311
(801) 495-5303
Mailing address
1952 EAST 7000 SOUTH STE 100, SALT LAKE CITY, UT 84121
(801) 972-3311
(801) 495-5303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1298
HI
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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