Individual
BRENDA LYNN HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4080 NELSON RD, LAKE CHARLES, LA 70605-2439
(337) 494-7546
Mailing address
6905 MEADOWVIEW LOOP, LAKE CHARLES, LA 70605-0533
(337) 515-8901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02603R
LA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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