Heidi Lynne Hathaway, MS, PT

NPI #1316096100 in Central Square, New York

Provider Information

NPI Number
1316096100
Entity Type
Individual
Name
Heidi Lynne Hathaway, MS, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
MS, PT
Enumeration Date
Jan 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
124 US ROUTE 11
ZIP Code
13036-9760
Phone
(315) 668-0123

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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