Individual
LAURYN ASHLEY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2224 E CEDAR AVE STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
Mailing address
2224 E CEDAR AVE STE 1, FLAGSTAFF, AZ 86004-1957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13039
AZ
Other
Enumeration date
07/24/2017
Last updated
09/26/2018
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