Organization
MAYNARD PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MAYNARD (OWNER)
(606) 471-8138
Entity
Organization
Contact information
Practice address
358 BRANDY KEG EST, PRESTONSBURG, KY 41653-8445
(606) 471-8138
Mailing address
358 BRANDY KEG EST, PRESTONSBURG, KY 41653-8445
(606) 471-8138
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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