| NPI | 1831125194 |
|---|---|
| Former Name | LEIGH HAZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2848) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16491) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-10-23 |