Individual
CAROLINE HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
320 CUSTER RD, RICHARDSON, TX 75080-5623
(972) 490-9055
Mailing address
5521 GREENVILLE AVE STE 104, PMB 209, DALLAS, TX 75206-2940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1039964
TX
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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