| NPI | 1689647950 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HATHAWAY Owner/Physcial Therapy 607-227-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017496) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-06-20 |