Individual
MARJORIE PRIM HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT, MA, PCS
Contact information
Practice address
207 FAIRWAY DR, ROCKINGHAM, NC 28379-9414
(910) 895-7850
(910) 895-7850
Mailing address
207 FAIRWAY DR, ROCKINGHAM, NC 28379-9414
(910) 895-7850
(910) 895-7850
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212694
—
NC
Enumeration date
02/27/2007
Last updated
06/01/2010
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