Individual
EBONY MONIQUE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34641 VIA CATALINA APT B, CAPISTRANO BEACH, CA 92624-1391
(305) 923-2980
Mailing address
34641 VIA CATALINA APT B, CAPISTRANO BEACH, CA 92624-1391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14114
FL
Other
Enumeration date
04/30/2010
Last updated
10/04/2021
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