Individual
CLARA ELANE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 KINGS WAY RD, MARTINSVILLE, VA 24112-6631
(276) 634-1000
Mailing address
771 YOUNT RD, EDEN, NC 27288-8239
(336) 552-3714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009485
NC
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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