MIKE MAYNARD, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1700901253
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 3934 (CA) |
Frequently Asked Questions
NPI 1700901253 is the National Provider Identifier for MIKE MAYNARD, PTA, a Physical Therapy Assistant provider located in San Diego, CA. This NPI was enumerated on March 20, 2007.
MIKE MAYNARD, PTA practices at 4655 RUFFNER ST, STE. 270, San Diego, CA 92111.
Quick Facts
- NPI
- 1700901253
- Type
- Individual
- Enumerated
- Mar 20, 2007
- Last Updated
- Jul 8, 2007
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