Individual
MARY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
20470 N LAKE PLEASANT RD STE 107, PEORIA, AZ 85382-9708
(623) 322-8250
Mailing address
20470 N LAKE PLEASANT RD STE 107, PEORIA, AZ 85382-9708
(623) 322-8250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1775
ND
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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