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Individual

MR. WILLIE JAMES HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840
(719) 333-5219
Mailing address
5231 MASSACHUSETTS AVE, BETHESDA, MD 20816-2702
(301) 229-1900
(301) 229-1946

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
06/05/2014
Last updated
04/18/2024
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