Individual
DR. BRANDON EMMETT HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
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
2251X0800X
Orthopedic Physical Therapist
Primary
047403
NY
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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