Individual
LINDA ROSEANNE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
8481 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 603-1111
Mailing address
8481 HOLLY RD, GRAND BLANC, MI 48439-1812
(810) 603-1111
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007146
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202007146
MICHIGAN LICENSE
—
Enumeration date
07/25/2013
Last updated
07/25/2013
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