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NPI Code Detail

MEDICARE: MRS. CHERYL LYNN HOGG-HAZELWOOD

MEDICARE: MRS. CHERYL LYNN HOGG-HAZELWOOD
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
1225X00000XOccupational Therapist239905KY

General Provider Information

NPI Number : 1144042482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYL LYNN HOGG-HAZELWOOD
Provider Business Mailing Address
First Line : 3257 TANGLEWOOD DR
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2114
Country : US
Telephone Number : 270-577-6890
Fax Number :
Provider Business Practice Location Address
First Line : 3257 TANGLEWOOD DR
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2114
Country : US
Telephone Number : 270-577-6890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 02/21/2025

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