Individual
MS. JESSICA R HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15314 CARROLLTON BLVD, CARROLLTON, VA 23314-2304
(757) 650-2513
Mailing address
9215 WIGNEIL ST, SUFFOLK, VA 23433-1530
(757) 650-2513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206723
VA
Other
Enumeration date
10/27/2010
Last updated
02/03/2021
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