Individual
MRS. RYAN BEEBE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5025 WILLING CT, INDIAN LAND, SC 29707-3103
(704) 619-2873
Mailing address
5025 WILLING CT, INDIAN LAND, SC 29707-3103
(704) 619-2873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12133
NC
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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