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Search › Illinois › 2081P2900X

Marissa Maxham, PTA

NPI 1205405859 · on the registry since 2021

Practice

Address
701 Shadwell Ave
Flora, IL 62839
Phone
(618) 662-8361
Organisation at this address
Petersen Companies, Llc
Axiom Gardens Of Flora Llc
Axiom Gardens Of Flora Llc
Petersen Health Network, Llc
Flora Pavilion Nursing Home Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
2081P2900X
2081P2900X
Also registered as
2081H0002X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois