Organization
BREAKTHROUGH PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W HATHAWAY PT DPT (PT, OWNER)
(607) 227-6366
Entity
Organization
Contact information
Practice address
4701 CREEDMOOR RD STE 107, RALEIGH, NC 27612
(919) 676-2001
(919) 676-0023
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
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/30/2014
Last updated
11/30/2018
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