Individual
MR. ROY W. MAYNARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
90 S PARK ST, WILLIMANTIC, CT 06226-3336
(860) 456-6312
Mailing address
140 S RIVER RD, COVENTRY, CT 06238-1509
(860) 742-1258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003733
CT
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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