Provider Demographics
NPI:1902494776
Name:DR GRETCHEN HAWLEY PT PLLC
Entity Type:Organization
Organization Name:DR GRETCHEN HAWLEY PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:585-813-5390
Mailing Address - Street 1:8164 BANK STREET RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9705
Mailing Address - Country:US
Mailing Address - Phone:585-813-5390
Mailing Address - Fax:
Practice Address - Street 1:8164 BANK STREET RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9705
Practice Address - Country:US
Practice Address - Phone:585-813-5390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy