Individual
JENNIFER WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 E DOUGLAS RD, MISHAWAKA, IN 46545-1733
(574) 307-7163
Mailing address
1420 E DOUGLAS RD, MISHAWAKA, IN 46545-1733
(574) 307-7163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002594A
IN
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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