Individual
BREANNA LEE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 RUSSELL AVE, NEW MARTINSVILLE, WV 26155-1572
(304) 455-2600
Mailing address
134 FAIRVIEW DR, NEW MARTINSVILLE, WV 26155-2806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002075
WV
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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