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Individual
JEFFREY CHARLES WARDACH
Active
Individual
JEFFREY CHARLES WARDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11065
SC
2251X0800X
Orthopedic Physical Therapist
11065
SC
2251X0800X
Orthopedic Physical Therapist
Primary
P23678
NC
2251X0800X
Orthopedic Physical Therapist
PT36962
FL
Other
Enumeration date
06/05/2018
Last updated
01/23/2026
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