Individual
CARRIE M HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
322 N AURORA ST, ITHACA, NY 14850-4202
(607) 257-5858
(607) 257-1718
Mailing address
322 N AURORA ST, ITHACA, NY 14850-4202
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017458
NY
Other
Enumeration date
02/01/2011
Last updated
01/11/2022
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