Individual
MEGAN HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
24 CHERRY ST, JOHNSON CITY, NY 13790-2615
(570) 903-9302
Mailing address
2 JANE LACEY DR APT 2C, ENDICOTT, NY 13760-3710
(570) 903-9302
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024440
NY
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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