Individual
HAZEL MARIE PATIAG CASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
(920) 731-7310
Mailing address
1425 N MCCARTHY RD APT 3, APPLETON, WI 54913-8871
(706) 618-7285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11935-24
WI
225100000X
Physical Therapist
PT010262
GA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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