Individual
MRS. CIARA ALEXIS HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 TITUS PL, WALTON, NY 13856-1457
(607) 865-2155
Mailing address
15 DIANE DR, OTEGO, NY 13825-2167
(570) 301-3123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
P115725
NY
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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