Individual
LISA J HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23553 W FERNHURST DR, KATY, TX 77494-0686
(281) 394-1300
Mailing address
7225 ADAMS FLAT RD, BROOKSHIRE, TX 77423-2472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TX
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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