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Individual

DR. RYAN CHRISTOPHER HAZELWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
601 DOCTOR MARTIN LUTHER KING JUNIOR AVENUE NE, ALBUQUERQUE, NM 87102
(615) 415-0332
Mailing address
311 HICKORY LN, FRANKLIN, TN 37064-5239

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4048
NM

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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