Individual
JENNIFER DIANE HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
RR 2 BOX 208, LINTON, IN 47441-9664
(812) 847-9675
(812) 847-4708
Mailing address
RR 2 BOX 208, LINTON, IN 47441-9664
(812) 847-9675
(812) 847-4708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001621A
IN
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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