| Doctor Name: | HAZEL MARIE PATIAG CASPERSON |
| NPI Number: | 1407107162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT010262 |
| Business Practice Address: | 325 E Florida Ave Appleton, WI - 549111325 |
| Business Phone Number: | 9207317310 |
| Business Fax Number: | |
| Mailing Address: | 1425 N Mccarthy Rd Apt 3, APPLETON |
| State: | WI |
| Postal Code: | 549138871 |
| Phone Number: | 7066187285 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2012 |
| NPI Last Update Date: | 09/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT010262 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| 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 |