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Search › New Jersey › 174400000X

Mark Haines, ATC

NPI 1215294962 · on the registry since 2012 · sole proprietor

Practice

Address
520 Jacksonville Road
Mount Holly, NJ 08060
Phone
(609) 267-0837
Fax
(609) 702-0835
Organisation at this address
Rancocas Valley Regional High School
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey