LISA HACKWORTH

LOUISVILLE, KY
NPI1962947077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000932A)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- LISA HACKWORTH
2701 CHESTNUT STATION COURT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
-- LISA HACKWORTH
5775 E 400 S
COLUMBIA CITY, IN 46725-8636
Phone number: 260-229-0794
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