Individual
DEBORAH HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 28, PENNS PARK, PA 18943-0028
(215) 616-4056
Mailing address
PO BOX 28, PENNS PARK, PA 18943-0028
(215) 616-4056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000844E
PA
Other
Enumeration date
10/04/2006
Last updated
03/02/2018
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