STACIE LEE HAWORTH

JANESVILLE, WI
NPI1528081007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: WI  9823-024)
Enumeration Date2006-07-25
Last Update Date2008-09-24
Business Address
-- STACIE LEE HAWORTH M.P.T.
1323 CRESTON PARK DR
JANESVILLE, WI 53545-1126
Phone number: 608-756-9440
Mailing Address
-- STACIE LEE HAWORTH M.P.T.
4412 TOUCHSTONE DR
ONEIDA, WI 54155-8662
Phone number:
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