MR. Willie James Haynes, OTR/L

NPI #1851704068 in Usaf Academy, Colorado

Provider Information

NPI Number: 1851704068
Entity Type: Individual
Name: MR. Willie James Haynes, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jun 5, 2014
Last Updated: Apr 18, 2024

Practice Location

Address: 10TH MEDICAL GROUP
Address 2: 4102 PINION DRIVE
City: Usaf Academy
State: Colorado
ZIP Code: 80840
Phone: (719) 333-5219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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