Individual
IVY MARIE HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
40 LENAPE RD, RICHBORO, PA 18954-1220
(215) 394-5104
Mailing address
119 MILL CREEK RD APT G2, ARDMORE, PA 19003-1535
(973) 978-3955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011914
PA
Other
Enumeration date
07/19/2011
Last updated
03/17/2018
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