Individual
MR. ANTHONY MELVYN MAXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
34 PEARLY LN, GARDNER, MA 01440-1736
(978) 632-1230
Mailing address
449 QUINAPOXET ST, JEFFERSON, MA 01522-1461
(508) 829-7520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10305
MA
225100000X
Physical Therapist
1288
RI
225100000X
Physical Therapist
3087
NH
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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