Individual
MS. MICHELE BURNS MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
80 PHYSICIAN DR, AIKEN, SC 29801-6388
(803) 292-9156
Mailing address
412 WOODVALE LN, AIKEN, SC 29801-7291
(803) 292-9156
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1861
SC
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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