| NPI | 1598088106 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HATHAWAY Owner/PT 315-451-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-07-01 |