Individual
NICOLAS HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 HERITAGE DR, MARTINSVILLE, IN 46151-3158
(765) 342-3305
Mailing address
2452 GALENA DR APT 12, GREENWOOD, IN 46143-6042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006444A
IN
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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