Individual provider · Type 1 NPI

Larry George Hazaert

Rehabilitation Practitioner · Montclair, CA

NPI number 1619576790 Active

Practice location

9828 Central Avenue
Montclair, CA 91763-2817

Call (909) 447-7520 Map

Mailing address

815 Colorado Blvd Ste 300
Los Angeles, CA 90041-1744

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1619576790

Larry George Hazaert's National Provider Identifier is 1619576790, issued on Oct 20, 2020. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Montclair, CA. The record was last updated on Mar 24, 2021.