Individual
SANDRA JANE HAYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1135
Mailing address
5319 KEIFFER AVE SW, CANTON, OH 44706-3911
(330) 484-3505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04036
OH
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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