Individual
KAREN HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5335 FAR HILLS AVE STE 103, DAYTON, OH 45429-2317
(937) 435-4004
Mailing address
5276 BURNING BUSH LN, DAYTON, OH 45429-5842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3178
LICENSE#
OH
Enumeration date
02/23/2007
Last updated
07/08/2007
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