Organization
PEAK PERFORMANCE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN D HATHAWAY PT (OWNER)
(607) 687-7645
Entity
Organization
Contact information
Practice address
115 HICKORIES PARK RD, OWEGO, NY 13827-4845
(607) 687-7645
(607) 687-7646
Mailing address
115 HICKORIES PARK RD, OWEGO, NY 13827-4845
(607) 687-7645
(607) 687-7646
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
011651-1
NY
Other
Enumeration date
02/23/2007
Last updated
08/21/2019
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