Individual
MR. PHALEN C HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 LITITZ PIKE, LANCASTER, PA 17601-3396
(717) 569-3211
(855) 232-8604
Mailing address
4070 WOODCREST LN, COLUMBIA, PA 17512-9602
(717) 449-5079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012112
PA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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