Individual
ELIZABETH HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(866) 839-6979
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(866) 839-6979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13036
AZ
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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