| NPI | 1891060885 |
|---|---|
| Doing Business As | PROACTIVE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY W HATHAWAY Owner 315-458-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |