Provider Demographics
NPI:1992334411
Name:LEGASPI, HAZEL JOYCE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HAZEL JOYCE
Middle Name:
Last Name:LEGASPI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15766 LA FORGE ST STE 145
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2334
Mailing Address - Country:US
Mailing Address - Phone:562-600-0208
Mailing Address - Fax:
Practice Address - Street 1:15766 LA FORGE ST STE 145
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2334
Practice Address - Country:US
Practice Address - Phone:562-600-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist