Doctor Name: | KRISTEN HAWLEY |
NPI Number: | 1336396993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 023593-1 |
Business Practice Address: | 11 Haypath Watervliet, NY - 121891110 |
Business Phone Number: | 5182350439 |
Business Fax Number: | 5182350439 |
Mailing Address: | 11 Haypath, WATERVLIET |
State: | NY |
Postal Code: | 121891110 |
Phone Number: | 5182350439 |
Fax Number: | 5182350439 |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 08/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 023593-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |