Individual
BETH P WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1622 SOUTH ST, APT 2R, PHILADELPHIA, PA 19146-1542
(630) 715-5580
Mailing address
1622 SOUTH ST, APT 2R, PHILADELPHIA, PA 19146-1542
(630) 715-5580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006109
PA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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