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NPI Code Detail

MEDICARE: SARAH MICHELLE HAZEL PTA

MEDICARE: SARAH MICHELLE HAZEL PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantTEI001773PA

General Provider Information

NPI Number : 1023215738
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MICHELLE HAZEL PTA
Provider Business Mailing Address
First Line : 3031 CHESTNUT HILL RD
Second Line :
City : POTTSTOWN
State : PA
Zip : 19465-8560
Country : US
Telephone Number : 610-469-6228
Fax Number : 610-469-1220
Provider Business Practice Location Address
First Line : 3031 CHESTNUT HILL RD
Second Line :
City : POTTSTOWN
State : PA
Zip : 19465-8560
Country : US
Telephone Number : 610-469-6228
Fax Number : 610-469-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 11/17/2009

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Directions to “ SARAH MICHELLE HAZEL PTA” Practice Location

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