Individual
MICHAEL MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 E UPRIVER DR, SPOKANE, WA 99207-5181
(503) 298-0413
Mailing address
709 VILLARD ST, CHENEY, WA 99004-1253
(503) 298-0413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60571474
WA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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