Organization
MAYNARD MILESTONES. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE MAYNARD (OCCUPATIONAL THERAPIST)
(551) 208-1182
Entity
Organization
Contact information
Practice address
115 FAIRVIEW AVE APT 52, JERSEY CITY, NJ 07304-5105
(201) 898-0188
Mailing address
115 FAIRVIEW AVE APT 52, JERSEY CITY, NJ 07304-5105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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