Individual
MATTHEW K. HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
512 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-8231
(918) 333-4343
(918) 333-4355
Mailing address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3576
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034560A
—
OK
Enumeration date
10/12/2005
Last updated
05/12/2015
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