Individual
MRS. ADRIENNE WARD
Active
Individual
MRS. ADRIENNE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499689002
BLUE SHIELD
NY
01
—
0007211390
AETNA PPO
NY
01
—
10060791
CDPHP
NY
01
—
2959892
AETNA HMO
NY
01
—
380209
MVP
NY
01
—
Q19481
EMPIRE
NY
Enumeration date
04/20/2006
Last updated
11/17/2011
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