Individual
LAURA LYNN HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 BLACK FOREST LN, TRAVERSE CITY, MI 49696-8165
(231) 645-3827
Mailing address
2119 BLACK FOREST LN, TRAVERSE CITY, MI 49696-8165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000838
MI
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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