Individual
LANA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16156 76TH ST, LIVE OAK, FL 32060-7609
(352) 339-4563
Mailing address
16156 76TH ST, LIVE OAK, FL 32060-7609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA16042
FL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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