Organization
HAZEN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL HAZEN MBR (OWNER)
(765) 282-3486
Entity
Organization
Contact information
Practice address
1705 N BOB O LINK DR, MUNCIE, IN 47304-6616
(765) 282-3486
Mailing address
1705 N BOB O LINK DR, MUNCIE, IN 47304-6616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200871400A
—
IN
Enumeration date
03/21/2007
Last updated
11/19/2008
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