MISS Hazel Mae Hupeda Hofilena, RPT

NPI #1154536829 in Mount Vernon, Missouri

Provider Information

NPI Number: 1154536829
Entity Type: Individual
Name: MISS Hazel Mae Hupeda Hofilena, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 616 N MAIN ST
City: Mount Vernon
State: Missouri
ZIP Code: 65712-1004
Phone: (417) 499-1786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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