Deedra Hazleton, P.T.

NPI #1073533667 in Big Bear Lake, California

Provider Information

NPI Number: 1073533667
Entity Type: Individual
Name: Deedra Hazleton, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 41945 BIG BEAR BLVD
Address 2: 209
City: Big Bear Lake
State: California
ZIP Code: 92315
Phone: (909) 866-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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