Jennifer Hathaway
Jennifer Hathaway is an Early Intervention Provider Agency in Bridgeport, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
417 Willis AveBridgeport, WV 26330-1551
Phone: (304) 677-8714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1295573848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2024 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
| Mailing address | 417 Willis Ave, Bridgeport, WV 26330-1551 |
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