Individual
MRS. PHYLLIS ANNE HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1500 SAWMILL RD, RALEIGH, NC 27615-4320
(919) 848-7000
Mailing address
1500 SAWMILL RD, RALEIGH, NC 27615
(919) 848-7000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4174
NC
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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