Individual
ANDREW G WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 622-4126
(918) 270-2398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200034530A
MEDICAID LEGACY
—
05
—
20034530A
—
OK
01
—
4533856
AETNA LEGACY
—
01
—
650021945
MEDICARE RAILROAD
—
Enumeration date
10/12/2005
Last updated
06/20/2012
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