Larry George Hazaert
NPI #1619576790 in Montclair, California
Provider Information
- NPI Number
- 1619576790
- Entity Type
- Individual
- Name
- Larry George Hazaert
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Oct 20, 2020
- Last Updated
- Mar 24, 2021
Practice Location
- Address
- 9828 CENTRAL AVENUE
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2817
- Phone
- (909) 447-7520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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