| NPI | 1558598532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HATHAWAY Majority Owner/PT 315-458-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-07-21 |