Individual
DEBRA ELOISE HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
127 N MAIN ST, MONTICELLO, IN 47960-2130
(765) 497-1521
(765) 497-1908
Mailing address
127 N MAIN ST, MONTICELLO, IN 47960-2130
(765) 497-1521
(765) 497-1908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002133A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086060
—
IN
Enumeration date
12/08/2006
Last updated
05/01/2013
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