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Organization
PIEDMONT PHYSICAL THERAPY SPECIALIST LLC
Active
Organization
PIEDMONT PHYSICAL THERAPY SPECIALIST LLC
Active
Other names
BreakThrough Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W HATHAWAY PT (OWNER/PHYSICAL THERAPIST)
(607) 227-6366
Entity
Organization
Contact information
Practice address
530 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 483-9300
(910) 483-9302
Mailing address
7325 OSWEGO RD, LIVERPOOL, NY 13090-3717
(315) 451-6541
(315) 451-7059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P10927
NC
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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