Individual
CHARLES MAITLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
20325 N 51ST AVE, SUITE 160, GLENDALE, AZ 85308-5674
(623) 466-6350
(602) 358-8698
Mailing address
20325 N 51ST AVE, SUITE 160, GLENDALE, AZ 85308-5674
(623) 466-6350
(602) 358-8698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10731APTA
AZ
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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