Individual
MS. ANNA G. WARDSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
409 19TH ST, ALEXANDRIA, LA 71301-6753
(318) 473-2917
(318) 473-4002
Mailing address
409 19TH ST, ALEXANDRIA, LA 71301-6753
(318) 473-2917
(318) 473-4002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10937
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z10937
STATE LICENSE NUMBER
LA
Enumeration date
08/05/2006
Last updated
07/08/2007
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