Individual
KEN MAYNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-6645
(720) 777-6563
Mailing address
3615 MARTIN LUTHER KING BLVD, DENVER, CO 80205-4976
(720) 777-6645
(720) 777-6563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000752
CO
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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