Individual
BRITTANY NICOLE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
649 LEGACY PL, MASCOUTAH, IL 62258-2050
(618) 448-0206
Mailing address
319 QUARRY ST, STAUNTON, IL 62088-1328
(618) 792-4259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005750
IL
Other
Enumeration date
03/24/2022
Last updated
12/29/2023
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