Denise Hazelwood- Smith, PTA

NPI #1992063127 in Jericho, New York

Provider Information

NPI Number: 1992063127
Entity Type: Individual
Name: Denise Hazelwood- Smith, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 25, 2012
Last Updated: Apr 25, 2012

Practice Location

Address: 33 S SERVICE RD
Address 2: ROOM 109
City: Jericho
State: New York
ZIP Code: 11753-1036
Phone: (516) 750-9760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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