Maynard, Heather Rose
Maynard, Heather Rose is an individual health care provider with primary practice located at 4100 Southern Blvd Se Suite 180-A, Rio Rancho NM 87124-4817. 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, Heather Rose can be contacted via phone (505) 896-4978.Contact Information
Primary practice address
4100 Southern Blvd Se Suite 180-A
Rio Rancho NM 87124-4817
Phone: (505) 896-4978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2697 | New Mexico |
Profile Details
| NPI number | 1194714246 |
|---|---|
| LBN Legal business name | Maynard, Heather Rose |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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