Doctor Name: | TRACI HAZELTON |
NPI Number: | 1548230808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, ATC, CSCS |
License Number: | 006312 |
Business Practice Address: | 445 South Main Street Eastern Rehabilitation Network 5th Floor West Hartford, CT - 06110 |
Business Phone Number: | 8605218800 |
Business Fax Number: | 8605218801 |
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: | 006312 |
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 |