Individual
REBECCA PORTER HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8475 WANN DR NW, MADISON, AL 35758-9534
(256) 704-1700
Mailing address
8415 WANN DR, MADISON, AL 35758-9534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8151
AL
Other
Enumeration date
09/12/2016
Last updated
03/20/2024
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