Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1962594853 |
---|---|
Provider Name | Mrs. Voynn P. Haynes |
First Address | New Orleans, LA 70126-4223 |
Second Address | New Orleans, LA 70112-1262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |