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NPI Code Detail

MEDICARE: JANUARY D HATTABAUGH PT

MEDICARE: JANUARY D HATTABAUGH PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist11515MA

General Provider Information

NPI Number : 1932108552
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANUARY D HATTABAUGH PT
Provider Business Mailing Address
First Line : 227 BAYBERRY HILL LN
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-4972
Country : US
Telephone Number : 508-326-0555
Fax Number :
Provider Business Practice Location Address
First Line : 620 OLD WEST CENTRAL ST
Second Line :
City : FRANKLIN
State : MA
Zip : 02038-2912
Country : US
Telephone Number : 508-528-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/08/2007

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Directions to “ JANUARY D HATTABAUGH PT” Practice Location

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