Individual
DR. SHONDA LANKFORD HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MS, MBA, OTR/L
Contact information
Practice address
229 RUGGED CREEK DR, STOCKBRIDGE, GA 30281-4568
(251) 284-8633
Mailing address
229 RUGGED CREEK DR, STOCKBRIDGE, GA 30281-4568
(251) 284-8633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2156
AL
225X00000X
Occupational Therapist
OT006440
GA
225X00000X
Occupational Therapist
OT1536
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146409
—
AL
05
—
890016800
—
AL
Enumeration date
03/21/2007
Last updated
08/07/2024
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