Individual
AMY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WOOD AVE, SUMNER, WA 98390-1926
(253) 891-6051
(253) 891-6099
Mailing address
1202 WOOD AVE, SUMNER, WA 98390-1926
(253) 891-6051
(253) 891-6099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60370545
WA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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