Erin E Hazelbaker, PT | |
4355 Shepherd Creek Rd, Cincinnati, OH 45211-1915 | |
(937) 266-5900 | |
Not Available |
Full Name | Erin E Hazelbaker |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4355 Shepherd Creek Rd, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174132963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT011672 (Ohio) | Primary |
Provider Name | Victress Health And Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851926026 PECOS PAC ID: 4789015843 Enrollment ID: O20200506000657 |
Mailing Address | Practice Location Address |
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Erin E Hazelbaker, PT 4355 Shepherd Creek Rd, Cincinnati, OH 45211-1915 Ph: (937) 266-5900 | Erin E Hazelbaker, PT 4355 Shepherd Creek Rd, Cincinnati, OH 45211-1915 Ph: (937) 266-5900 |
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