Individual
LISA WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PTA
Contact information
Practice address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720-1999
(231) 547-8630
Mailing address
105 BENNETT ST, EAST JORDAN, MI 49727-8689
(231) 564-0753
(231) 564-0753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004889
MI
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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