| NPI | 1083937692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HATHAWAY Owner/PT 315-458-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-11-30 |