BRYAN D HATHAWAY

PEAK PERFORMANCE PHYSICAL THERAPY LLC

Dr BRYAN D HATHAWAY is a male medical professional, specializing in Physical Therapy. He graduated in 1990.

Contact

PEAK PERFORMANCE PHYSICAL THERAPY LLC

115 HICKORIES PARK RD
OWEGO
NY
138274845

Tel: 6076877645

BRYAN D HATHAWAY Information

Npi 1669535563
Pac Id 8527099951
Professional Enrollment Id I20111129000321
Last Name HATHAWAY
First Name BRYAN
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1990
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PEAK PERFORMANCE PHYSICAL THERAPY LLC
Group Practice Pac Id 2466483896
Number Of Group Practice Members 3
Line 1 Street Address 115 HICKORIES PARK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OWEGO
State NY
Zip Code 138274845
Phone Number 6076877645
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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