Individual
MOLLY BROOKE HAYWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5391 THORNAPPLE LN APT 201, LAFAYETTE, IN 47905-3463
(815) 347-6883
Mailing address
5391 THORNAPPLE LN APT 201, LAFAYETTE, IN 47905-3463
(815) 347-6883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006341A
IN
Other
Enumeration date
08/23/2021
Last updated
10/14/2024
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