DWAYNE MAXAM, PT
Physical Therapist
Active
Individual
NPI: 1285696401
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 113728 (MO) |
Frequently Asked Questions
NPI 1285696401 is the National Provider Identifier for DWAYNE MAXAM, PT, a Physical Therapist provider located in St Louis, MO. This NPI was enumerated on April 4, 2006.
DWAYNE MAXAM, PT practices at 3518 LACLEDE, MARCHETTI EAST, St Louis, MO 63103.
Quick Facts
- NPI
- 1285696401
- Type
- Individual
- Enumerated
- Apr 4, 2006
- Last Updated
- Jul 8, 2007
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