Kevin Anderson Haynes, MOTR/L
Occupational Therapist in Bronx, NY. Individual provider (NPI-1).
NPI number1295242576
StatusActive
Last updated in NPPESNov 9, 2018
Details
- NPI
- 1295242576
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin Anderson Haynes
- Credential
- MOTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2018
- Last updated
- Nov 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 021363 | NY | Yes |
Practice location
1775 Grand ConcourseBronx, NY 10453
Phone 718-579-3941
Mailing address
1775 Grand ConcourseBronx, NY 10453-8202
Phone 718-579-3941
Other practice locations
130 Pond Way
Staten Island, NY 10303
Staten Island, NY 10303
Phone 917-572-9702
130 Pond Way
Staten Island, NY 10303
Staten Island, NY 10303
Phone 917-572-9702
130 Pond Way
Staten Island, NY 10303
Staten Island, NY 10303
Phone 917-572-9702
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