Individual
MYRNA LYNN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 833-4101
(309) 836-1589
Mailing address
495 KRAMER RD, AVON, IL 61415-9034
(309) 833-4101
(309) 836-1589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000925
IL
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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