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STACI DELANE HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
6005 WESTVIEW DR, HOUSTON, TX 77055-5419
(713) 696-0771
Mailing address
17401 W LAKE HOUSTON PKWY APT 9307, HUMBLE, TX 77346-5150
(318) 505-4010

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217133
TX
224Z00000X
Occupational Therapy Assistant
334804
LA

Other

Enumeration date
08/12/2024
Last updated
08/12/2024
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