Jennifer Hathaway
NPI #1295573848 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1295573848
- Entity Type
- Individual
- Name
- Jennifer Hathaway
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 17, 2024
- Last Updated
- Jul 17, 2024
Practice Location
- Address
- 417 WILLIS AVE
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-1551
- Phone
- (304) 677-8714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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