Individual
MACKENZIE HAYWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
3305 W 144TH AVE UNIT 200, BROOMFIELD, CO 80023-9483
(303) 284-6569
Mailing address
6739 BLUE SPRUCE ST, FREDERICK, CO 80530-6713
(281) 757-1076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007692
CO
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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