Provider Demographics
NPI:1588860134
Name:HAYNES, FRANCES MARY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:MARY
Last Name:HAYNES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:MARY
Other - Last Name:NIZNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:520 SNOWBIRD LN
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-5978
Mailing Address - Country:US
Mailing Address - Phone:951-768-1188
Mailing Address - Fax:
Practice Address - Street 1:441 N LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3028
Practice Address - Country:US
Practice Address - Phone:714-279-5641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist