Individual
REBEKAH WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5005
Mailing address
9001 RA YOUNG JR DR APT 202, FORT SMITH, AR 72916-5046
(501) 612-9930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-68507
—
363A00000X
Physician Assistant
Primary
PT2021-075
AR
Other
Enumeration date
12/20/2018
Last updated
11/02/2021
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