Individual
LYDIA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529917620
—
AL
01
—
K531
GROUP NPI
AL
Enumeration date
04/19/2006
Last updated
11/10/2016
Update your record
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