Individual
JAMISON C MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5484 RICHFIELD RD., FLINT, MI 48506-1455
(810) 730-6921
(810) 515-1002
Mailing address
5484 RICHFIELD RD., FLINT, MI 48506-1455
(810) 730-6921
(810) 515-1002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012257
MI
Other
Enumeration date
04/30/2007
Last updated
09/07/2007
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