Individual
JOSEPH HAYNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1213 BRADLEY DANIEL BLVD, SUMMERVILLE, SC 29486-8658
(251) 978-2542
Mailing address
1213 BRADLEY DANIEL BLVD, SUMMERVILLE, SC 29486-8658
(251) 978-2542
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5062
SC
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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