Individual
MS. KRISTIN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2410 ILLINOIS AVE, INDEPENDENCE, IA 50644-9794
(319) 327-0792
Mailing address
2410 ILLINOIS AVE, INDEPENDENCE, IA 50644-9794
(319) 327-0792
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001042
IA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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