Doctor Name: | IAN HAZELTON |
NPI Number: | 1285604546 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 006992 |
Business Practice Address: | 252 North Main Street Eastern Rehabilitation Network 5th Floor Manchester, CT - 06040 |
Business Phone Number: | 8606433562 |
Business Fax Number: | 8606433565 |
Mailing Address: | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor NEWINGTON |
State: | CT |
Postal Code: | 06111 |
Phone Number: | 8606675449 |
Fax Number: | 8606678416 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006992 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |