Individual
KEN R WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
57 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1414
(207) 474-7000
(207) 858-4772
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-7000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3011
ME
Other
Enumeration date
02/19/2020
Last updated
07/03/2023
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