Individual
NEAL ALLEN HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC, LAT
Contact information
Practice address
3415 W FOX RIDGE LN, MUNCIE, IN 47304-5204
(765) 282-3486
(765) 282-5637
Mailing address
PO BOX 6890, EVANSVILLE, IN 47719-0890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002055A
IN
2255A2300X
Athletic Trainer
36000116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386711
ANTHEM
IN
05
—
200816790
—
IN
Enumeration date
12/09/2006
Last updated
11/19/2008
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