Provider Demographics
NPI:1750779112
Name:MAYLAND, SINDHU
Entity type:Individual
Prefix:
First Name:SINDHU
Middle Name:
Last Name:MAYLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SINDHU
Other - Middle Name:K
Other - Last Name:DECENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6732 ELBING ST
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-6723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6732 ELBING ST
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-6723
Practice Address - Country:US
Practice Address - Phone:850-982-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist