Smith-Haynes, Marilyn Jennifer

Smith-Haynes, Marilyn Jennifer is an sole proprietor health care provider with primary practice located at 3617 Ebenezer Rd , Marietta GA 30066-2819. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is her primary health care specialty. Smith-Haynes, Marilyn Jennifer can be contacted via phone (757) 589-0864.

Contact Information

Primary practice address
3617 Ebenezer Rd Marietta GA 30066-2819
Phone: (757) 589-0864
Fax: (770) 805-0556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification 224ZE0001X OTA000977 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 213831 Texas

Profile Details

NPI number 1467816835
LBN Legal business name Smith-Haynes, Marilyn Jennifer
Credentials COTA, CAPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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