ELLEN R. HAYNES

SPRINGFIELD, IL
NPI1194195297
Former NameELLEN R. HEIEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056009632)
Enumeration Date2015-10-01
Last Update Date2020-05-22
Business Address
ELLEN R. HAYNES OTR
3020 S 6TH ST
SPRINGFIELD, IL 62703-5915
Phone number: 217-528-7541
Mailing Address
ELLEN R. HAYNES OTR
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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