Individual
GALE HAZELTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
409 N PCH HWY # 308, REDONDO BEACH, CA 90277
(310) 503-1339
Mailing address
409 N PCH HWY # 308, REDONDO BEACH, CA 90277-2870
(310) 503-1339
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 18370
CA
Other
Enumeration date
08/31/2014
Last updated
06/07/2018
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