Individual
MS. BELEN NANCY VALA HAYNES
Active
Individual
MS. BELEN NANCY VALA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6307
OR
225100000X
Physical Therapist
Primary
PT60518151
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041413
—
WA
05
—
500628535
—
OR
01
—
P01310145
RR MEDICARE
OR
01
—
P01740354
RR MEDICARE
WA
Enumeration date
06/23/2010
Last updated
12/22/2016
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