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Individual

MR. BRIAN LYNN WARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
7040 RED ARROW HWY, COLOMA, MI 49038-8720
(269) 468-4318
(269) 468-6269
Mailing address
42910 EVERGREEN PARK DR, DECATUR, MI 49045-8175
(269) 423-9101

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005224
MI

Other

Enumeration date
03/16/2006
Last updated
07/08/2007
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