Individual
MRS. BETHANY LYNNE HIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3400 LAKE MARY RD, 21204, FLAGSTAFF, AZ 86001-9392
(928) 774-1944
Mailing address
3400 LAKE MARY RD, 21204, FLAGSTAFF, AZ 86001-9392
(928) 774-1944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2002003815
MO
225100000X
Physical Therapist
7509
TN
225100000X
Physical Therapist
Primary
7566
AZ
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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