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NPI Code Detail

MEDICARE: MRS. GINGER E. MAYNARD O.T.

MEDICARE:  MRS. GINGER E. MAYNARD  O.T.
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
1225X00000XOccupational Therapist109367TX
2225XH1200XHand Occupational Therapist109367TX

General Provider Information

NPI Number : 1841598158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINGER E. MAYNARD O.T.
Provider Business Mailing Address
First Line : 1129 INDUSTRIAL DR E
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-3326
Country : US
Telephone Number : 903-885-9906
Fax Number : 903-438-9636
Provider Business Practice Location Address
First Line : 1129 INDUSTRIAL DR E
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-3326
Country : US
Telephone Number : 903-885-9906
Fax Number : 903-438-9636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2011
Last Update Date : 03/10/2011

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Directions to “ MRS. GINGER E. MAYNARD O.T.” Practice Location

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