MEDICARE: MRS. ADRIANA MAYNARD OCCUPATIONAL THERAPI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201004937	MI

General Provider Information

NPI Number	:	1205316478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIANA MAYNARD OCCUPATIONAL THERAPI

Provider Business Mailing Address
First Line	:	431 OTTAWA DR
Second Line	:
City	:	OSCODA
State	:	MI
Zip	:	48750-1458
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 N 5TH AVE
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9245
Country	:	US
Telephone Number	:	989-362-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2018
Last Update Date	:	08/17/2018

Similar Medicare Providers

1942207006 — LAKEVIEW MANOR ACQUISITION COMPANY, INC.
Practice Location Address:

408 N 5TH AVE
TAWAS CITY, MI
48763-9245

Practice Phone: 989-362-2211
Practice Fax: 989-984-0267

1134603970 — SARAH WILK PTA
Practice Location Address:

408 N 5TH AVE
TAWAS CITY, MI
48763-9245

Practice Phone: 989-362-2211
Practice Fax:

1447813571 — HEATHER NIKOLE LOVE
Practice Location Address:

408 N 5TH AVE
TAWAS CITY, MI
48763-9245

Practice Phone: 989-362-2211
Practice Fax:

1366115016 — BARBARA LYNETTE BERG
Practice Location Address:

408 N 5TH AVE
TAWAS CITY, MI
48763-9245

Practice Phone: 989-362-2211
Practice Fax:

1063385292 — NEXGEN WOUND CARE PLLC
Practice Location Address:

12288 PENINSULA DR
TRAVERSE CITY, MI
49686-9245

Practice Phone: 231-649-2672
Practice Fax:

1538253588 — AEROCARE HOME MEDICAL EQUIPMENT, INC
Practice Location Address:

2512 CREEK TRAIL CT
JEFFERSON CITY, MO
65109-9245

Practice Phone: 573-634-0048
Practice Fax:

Directions to “ MRS. ADRIANA MAYNARD OCCUPATIONAL THERAPI” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.