Nicole M Maulden Valid NPI
Individual provider · Physical Therapy Assistant · Rincon, GA
- NPI
- 1326356023
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- PTA001618 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-09-16
- Last updated
- 2010-09-16
Practice location
106 Willowdell Ct
Rincon, GA 31326-9728
(912) 631-4515