Individual
ELIZABETH HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30707 COUNTY ROAD 22, WARSAW, OH 43844-9508
(740) 824-3240
Mailing address
307070 COUNTY ROAD 22, WARSAW, OH 43844
(740) 824-3240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02621
OH
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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