Individual
MRS. JENNA ELAINE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
37 CENTRAL AVE, WELLSBORO, PA 16901-1857
(570) 724-3131
Mailing address
316 ECKMONT AVE, SOUTH WILLIAMSPORT, PA 17702-7709
(570) 916-0061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007203
PA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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