Heather Rose Maynard, PT

NPI #1194714246 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1194714246
Entity Type: Individual
Name: Heather Rose Maynard, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4100 SOUTHERN BLVD SE
Address 2: SUITE 180-A
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-4817
Phone: (505) 896-4978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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