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NPI Code Detail

MEDICARE: CLAIRE HATHAWAY

MEDICARE: CLAIRE HATHAWAY
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 TherapistPT 2462OK

General Provider Information

NPI Number : 1942389622
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE HATHAWAY
Provider Business Mailing Address
First Line : 1908 GRAY FOX DR
Second Line :
City : EDMOND
State : OK
Zip : 73003-6237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7417 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3201
Country : US
Telephone Number : 405-841-0088
Fax Number : 405-841-0099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 07/08/2007

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Directions to “ CLAIRE HATHAWAY ” Practice Location

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