Individual
MISS SABRA ANN HAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
545 W MOONGLO RD, SCOTTSBURG, IN 47170-7710
(812) 752-3499
(812) 752-7632
Mailing address
1 PIN OAK LN, LOUISVILLE, KY 40207-2231
(502) 472-7533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99027352A
IN
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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