Individual
MS. CHARITA DIONNE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 COBBLESTONE TRCE SE, MOULTRIE, GA 31788-7747
(229) 985-3637
Mailing address
109 HEISMAN WAY, THOMASVILLE, GA 31792-7104
(229) 224-2380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
113682
TX
225X00000X
Occupational Therapist
Primary
OT004480
GA
Other
Enumeration date
07/04/2010
Last updated
03/25/2021
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