Individual
REBECCA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 LONGDALE DR, DECATUR, GA 30032-5243
(205) 427-1005
Mailing address
1897 LONGDALE DR, DECATUR, GA 30032-5243
(205) 427-1005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001617
GA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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