Individual
JENNIFER HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 PARKMAN ST, WANG AMBULATORY CARE CENTER, ROOM 128, BOSTON, MA 02114-3117
(617) 643-9855
Mailing address
15 PARKMAN ST, WANG AMBULATORY CARE CENTER, ROOM 128, BOSTON, MA 02114-3117
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
21430
MA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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