Individual
BETH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7361 PRAIRIE FALCON RD, 130, LAS VEGAS, NV 89128-0823
(702) 804-1511
(702) 804-2551
Mailing address
6263 POPLAR AVE STE 801, MEMPHIS, TN 38119-4743
(901) 685-7227
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0795
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402008
—
NV
Enumeration date
10/10/2006
Last updated
01/21/2009
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