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NPI Code Detail

MEDICARE: MR. DAVID E HAYNES PT

MEDICARE: MR. DAVID E HAYNES PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT 2087OK

General Provider Information

NPI Number : 1073593893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID E HAYNES PT
Provider Business Mailing Address
First Line : 708 24TH AVE NW
Second Line : SUITE 100
City : NORMAN
State : OK
Zip : 73069-6232
Country : US
Telephone Number : 405-321-5969
Fax Number : 405-321-5967
Provider Business Practice Location Address
First Line : 700 NW 7TH ST
Second Line : SUITE 302
City : OKLAHOMA CITY
State : OK
Zip : 73102-1212
Country : US
Telephone Number : 405-609-3675
Fax Number : 800-506-3795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 12/03/2013

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Directions to “ MR. DAVID E HAYNES PT” Practice Location

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