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Stacie Lee Haworth, M.P.T.

Physical Therapist, Pediatrics in Janesville, WI. Individual provider (NPI-1).

NPI number1528081007
StatusActive
Last updated in NPPESSep 24, 2008

Details

NPI
1528081007
Entity type
Individual (NPI-1)
Name
Stacie Lee Haworth
Credential
M.P.T.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2006
Last updated
Sep 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, Pediatrics9823-024WIYes

Practice location

1323 Creston Park Dr
Janesville, WI 53545-1126

Phone 608-756-9440

Mailing address

4412 Touchstone Dr
Oneida, WI 54155-8662

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