Individual
SHERRY MAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W LYON DR, NEOSHO, MO 64850-9194
(615) 896-6400
Mailing address
506 MENG ST, GREENFIELD, MO 65661-1027
(417) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
118354
MO
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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