Individual
MISS CARLYN DANAE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5728 S 108TH ST, OMAHA, NE 68137-3547
(877) 645-8901
Mailing address
72146 633 AVE, HUMBOLDT, NE 68376-8012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2027
NE
Other
Enumeration date
08/22/2016
Last updated
11/06/2020
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