Doctor Name: | MRS. STEPHANIE LYNN HAYNES |
NPI Number: | 1003139478 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT 18903 |
Business Practice Address: | 1482 3rd St S Jacksonville Beach, FL - 322506310 |
Business Phone Number: | 9042463232 |
Business Fax Number: | 9042463626 |
Mailing Address: | 116 Seagrape Dr, JACKSONVILLE BEACH |
State: | FL |
Postal Code: | 322502530 |
Phone Number: | 9042377198 |
Fax Number: | 9042418499 |
NPI Enumeration Date: | 03/12/2010 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 18903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |