Individual
SHARON MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11623 ARBOR ST STE 100, OMAHA, NE 68144-2981
(402) 334-6090
Mailing address
139 EDWARD ST, MARISSA, IL 62257-3553
(618) 406-8742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004919
IL
Other
Enumeration date
09/06/2016
Last updated
02/22/2023
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