Individual
BRITTANY HACKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692-9561
(740) 384-3039
Mailing address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692-9561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05014
OH
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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