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Individual
JEFFREY W HATHAWAY
Active
Individual
JEFFREY W HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008280
NY
225100000X
Physical Therapist
10927
NC
225100000X
Physical Therapist
PT017496
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013512
BCBS CNY
NY
01
—
068AX
BCBS NC
NC
01
—
435663
MVP HEALTHCARE
NY
01
—
918237001
HEALTHNOW NY
NY
01
—
P00004725
RAILROAD MEDICARE
NY
01
—
P00404780
RAILROAD MEDICARE SRRGA
NC
Enumeration date
02/08/2006
Last updated
03/10/2014
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