Individual
ERICKA ESTER HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
900 PROVIDENT DRIVE, WARSAW, IN 46580
(574) 371-2512
Mailing address
4060 N SULLIVAN RD, LEESBURG, IN 46538-8809
(260) 352-2109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005047A
IN
Other
Enumeration date
05/01/2007
Last updated
09/23/2020
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