Individual
REBECCA A. HASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T., M.S.
Contact information
Practice address
3455 CANYON DE FLORES STE B, SIERRA VISTA, AZ 85650-5380
(520) 803-9727
Mailing address
3816 SHADY LANE CIR, BRAINERD, MN 56401-7936
(218) 831-0507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037207-1
NY
225100000X
Physical Therapist
Primary
11984
AZ
225100000X
Physical Therapist
7529
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12648775
CAQH #
—
Enumeration date
09/23/2014
Last updated
01/27/2016
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