Individual
KAYLA NOELLE HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 MCKINNEY BLVD, COLONIAL BEACH, VA 22443-1237
(804) 224-2222
Mailing address
PO BOX 283, BURGESS, VA 22432-0283
(804) 761-1082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604538
VA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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