Individual
SUSAN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
845 S 3RD ST, SPALDING UNIVERSITY ASOT, LOUISVILLE, KY 40203-2213
(502) 873-4214
(502) 585-7104
Mailing address
845 S. 3RD STREET, SPALDING UNIVERSITY ASOT, LOUISVILLE, KY 40203
(502) 873-4214
(502) 585-7104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3693
KY
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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