Organization
BREAKTHROUGH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W HATHAWAY PT (OWNER/PT)
(315) 458-2552
Entity
Organization
Contact information
Practice address
303 N 35TH ST, MOREHEAD CITY, NC 28557-3105
(252) 247-2738
(252) 240-3882
Mailing address
981 HIGH HOUSE RD STE 100, CARY, NC 27513-3510
(919) 388-0111
(919) 388-8668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200459
—
NC
Enumeration date
03/10/2010
Last updated
11/30/2018
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