Individual
BECKY T HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
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
225100000X
Physical Therapist
Primary
05002085A
IN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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