MR. Alan Michael Maynard, LAT, ATC
NPI #1477595452 in Burlington, Vermont
Provider Information
- NPI Number
- 1477595452
- Entity Type
- Individual
- Name
- MR. Alan Michael Maynard, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- LAT, ATC
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 213A PATRICK GYMNASIUM
- Address 2
- 97 SPEAR ST.
- City
- Burlington
- State
- Vermont
- ZIP Code
- 05405-0001
- Phone
- (802) 656-7678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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