Individual
MISS AMANDA K HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4080 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 222-7497
(559) 224-9310
Mailing address
4080 N CEDAR AVE, FRESNO, CA 93726-5267
(559) 222-7497
(559) 224-9310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34452
CA
Other
Enumeration date
02/06/2008
Last updated
05/07/2010
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