Maynard, Tina Marie
Maynard, Tina Marie is an individual health care provider with primary practice located at 1 Hospital Dr , Towanda PA 18848-9710. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Maynard, Tina Marie can be contacted via phone (570) 265-2191.Contact Information
Primary practice address
1 Hospital Dr
Towanda PA 18848-9710
Phone: (570) 265-2191
Fax: (570) 268-2379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT013803L | Pennsylvania |
Profile Details
| NPI number | 1740484542 |
|---|---|
| LBN Legal business name | Maynard, Tina Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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