Individual
LOUISA SUZANNE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 CHURCH ST, NASHVILLE, TN 37203-3420
(615) 284-7055
(615) 284-7070
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 284-7055
(615) 284-7070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6423
TN
Other
Enumeration date
03/28/2007
Last updated
12/04/2020
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