Individual
DR. GRANT HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6433 US ROUTE 60 E STE 125, BARBOURSVILLE, WV 25504-1252
(304) 736-3094
Mailing address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020348
OH
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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