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Individual

TYLER F WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2725 JAMES SANDERS BLVD STE A, PADUCAH, KY 42001-8405
(270) 554-5114
(270) 215-4834
Mailing address
2725 JAMES SANDERS BLVD STE A, PADUCAH, KY 42001-8405
(270) 554-5114
(270) 215-4834

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260111
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260111
LICENSE NUMBER
KY
Enumeration date
11/06/2019
Last updated
11/06/2019
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