Individual
DEBORAH HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10903 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1341
(253) 583-5000
Mailing address
2602 WESTRIDGE AVE W APT D303, TACOMA, WA 98466-8245
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61192306
WA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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