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Organization
LJ HAYNES COMPANY
Active
Organization
LJ HAYNES COMPANY
Active
Other names
Haynes Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTYN SAMANTHA HAYNES MSCPM (SECRETARY)
(817) 594-9200
Entity
Organization
Contact information
Practice address
1115 FORT WORTH HWY STE 1200, WEATHERFORD, TX 76086-4570
(817) 594-9200
(817) 594-9202
Mailing address
PO BOX 237, WEATHERFORD, TX 76086-0237
(817) 594-9200
(817) 594-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
01/30/2020
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