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Individual

JAMIE HAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DSCPT

Contact information

Practice address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-1891

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5501007634
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501007634
STATE LICENSE
MI
Enumeration date
03/15/2017
Last updated
03/15/2017
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