Individual
ANDREW MARSHALL HATCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3406
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013114065
NPI ORGANIZATION NUMBER
AL
01
—
1437180809
NPI
—
01
—
26-0468379
TID
—
01
—
51048428
BCBS
AL
01
—
510I650207
MEDICARE PTAN
—
01
—
51596286
BCBS
—
01
—
PTH3406
PHYSICAL THERAPY
AL
Enumeration date
07/05/2006
Last updated
09/23/2011
Update your record
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