Individual
MS. ANN WARD MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTLR
Contact information
Practice address
9241 UNIVERSITY BLVD, STE A, NORTH CHARLESTON, SC 29406-9349
(843) 414-1140
(843) 553-2946
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
314
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
05
—
TH0521
—
SC
Enumeration date
07/31/2006
Last updated
12/15/2015
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