Individual
MS. LAURA MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
801 6TH ST S, ST PETERSBURG, FL 33701-4816
(727) 767-6917
Mailing address
4530 14TH WAY NE, ST PETERSBURG, FL 33703-5353
(727) 767-6917
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT6551
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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