Individual
STEVEN J HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
13609 CALIFORNIA STREET, SUITE 200, C&A PLAZA, AUREUS MEDICAL GROUP, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
168 W HAMMOND ST, SEQUIM, WA 98382-3761
(208) 447-0833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60269501
WA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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