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Individual

ENRIQUE HAZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109849
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00X977
GROUP PTAN
TX
01
109849
OT LICENSE
05
212434901
TX
Enumeration date
09/06/2006
Last updated
02/15/2022
Update your record

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