Richard Alan Haynes, LPTA Valid NPI

Individual provider · Physical Therapy Assistant · Punta Gorda, FL

NPI

1114196144

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

PTA12622 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-02-24

Last updated

2008-02-24