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Organization
PROACTIVE OF PENNSYLVANIA PC
Active
Organization
PROACTIVE OF PENNSYLVANIA PC
Active
Other names
PROActive Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY W HATHAWAY PT (OWNER/PHYSCIAL THERAPY)
(607) 227-6366
Entity
Organization
Contact information
Practice address
7325 OSWEGO RD, LIVERPOOL, NY 13090-3717
(315) 451-6541
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
PT017496
PA
Other
Enumeration date
02/08/2006
Last updated
06/20/2008
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