MIKE JOHN MAYNARD

SAN DIEGO, CA
NPI1700901253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  3934)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- MIKE JOHN MAYNARD PTA
4655 RUFFNER ST STE. 270
SAN DIEGO, CA 92111-2275
Phone number: 800-787-6787
Mailing Address
-- MIKE JOHN MAYNARD PTA
32 POTOMAC
IRVINE, CA 92620-3254
Phone number:
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